Unexplained fever can have various causes, ranging in severity from 'minor' to 'generally fatal'. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.
Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose unexplained fever, we could:
occasional unexplained nausea
significant neck pain
frequent swollen axillary nodes
frequent 'chills'
frequent mucus in stools
elevated eosinophil count
regular unexplained vomiting
non-vaginal candidiasis
swollen axillary nodes
being anxious/nervous
morning stiffness lasting hours
pitted nails| Cause | Probability | Status |
|---|---|---|
| Malaria | 96% | Confirm |
| Non-Hodgkin's Lymphoma | 29% | Unlikely |
| Cerebral Gland Dysfunction | 26% | Unlikely |
| Crohn's Disease | 0% | Ruled out |
| Juvenile Rheumatoid Arthritis | 0% | Ruled out |
| HIV/AIDS | 0% | Ruled out |
| Zinc Toxicity | 0% | Ruled out |
| Ulcerative Colitis | 0% | Ruled out |
|
How often do you get unexplained fevers?
Possible responses:
→ Never / rarely / don't know→ Occasionally - one or two per year → Frequently - several/many per year |
A less common but more serious constitutional feature of SLE is persistent fever.
Symptoms of malaria include fever and flu-like illness, including shaking chills, headache, muscle aches, and tiredness.
When an ovarian cyst becomes twisted or ruptures it can cause fever.
In severe acute attacks there may be fever.