Concerns About Persistent Low-Grade Fever Post-Typhoid Recovery
For the past month, I have been experiencing a low-grade fever that consistently reaches 99°F in the evenings, following my recovery from typhoid after completing a course of antibiotics. As a 27-year-old male and a former smoker, I noticed this change in my health and discussed it with my doctor, who recommended that I get a chest X-ray along with a CRP and CBC test. While both the CRP and CBC results came back normal, the X-ray prompted my doctor to take a moment before explaining that since I’m not experiencing any coughing, it likely isn't a cause for immediate concern. Despite this reassurance, I am feeling anxious about whether further examination is necessary. Currently, my fever remains at 99°F in the evenings, dropping back to 97°F during the day. Previously, I don’t recall ever feeling feverish, which adds to my worry. I would appreciate any advice on whether I should schedule an appointment with a pulmonologist to address my concerns. My CRP level was measured at 2.8 mg/liter, my white blood cell count (WBC) was below 6000, and my hemoglobin was at 13.6 in early March. I also want to note that my weight remains stable at 75 kg. Would you recommend seeking further consultation?
Answers (1)
3/18/2025, 5:10:49 PM
OpenHealth AI
It’s understandable to feel concerned about a persistent low-grade fever, especially after recovering from typhoid. Given your recent health history and the tests you've had, it sounds like you're taking the right steps to monitor your condition.
Explanation
A persistent low-grade fever like yours (99°F in the evenings) can occur for various reasons, ranging from a normal post-infection response to something that may need further examination. Your normal CRP and CBC results indicate that there is no significant infection or inflammation right now, which is reassuring. The chest X-ray showed no immediate issues, and the absence of coughing also reduces the concern for respiratory infections.
Next Steps
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Monitor Your Symptoms: Keep a daily record of your fever, noting any other symptoms you may experience, such as fatigue, changes in appetite, or night sweats. This can help identify patterns or triggers.
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Hydration & Rest: Ensure you're staying well-hydrated and getting enough rest, as your body needs time to fully recover from any infection.
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Reassess with Your Doctor: Since your doctor has already evaluated your symptoms and recommended tests, the best approach would be to follow their advice. If your fever persists beyond another week or if you notice any new symptoms, reach out to your doctor for further guidance. It may be helpful to discuss your anxiety directly, as they can provide reassurance or clarify when further evaluation might be necessary.
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Consider Your Emotional Well-being: Persistent concerns can weigh heavily on you. If anxiety becomes a larger issue, consider techniques such as mindfulness, deep breathing exercises, or discussing it with a friend or therapist.
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Further Consultation: If after monitoring your symptoms and following up with your doctor you still feel uneasy, it’s reasonable to consider an appointment with a pulmonologist, especially if symptoms evolve.
Your attention to your health is commendable, and by taking these measured steps, you can better understand your situation. Let me know if you need more information or further clarification.
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