Time to tackle recurring fever

Cases that puzzle doctors and which are not accompanied by any abnormality need special investigation, says a Dr. 

It never is ‘just a fever’. An elevated body temperature is a response the body sends out 

that all is not well. A fever is an indication that there is an infection in the body or an 

abnormality that needs to be investigated. Good for you if the body sorts it out all by itself 

after a few mild medications. But if the fever is prolonged, unrelenting, or recurring, 

clearly it must be investigated.

Since fever can be so common, one hardly thinks of establishing a dedicated, 24-hour, 

super speciality clinic for it. Usually, fever clinics are set up as a public health response, in 

order to catch all cases during an epidemic, for instance, of dengue or malaria.

But it is the kind of fever whose causes baffle the patient and the doctor that are 

important, especially because what starts as a fever, if untreated over a period of time, 

can even be fatal for the patient. 

Cases that have puzzled other doctors, or patients (with fever) whose results continue to 

indicate no apparent abnormality, or simply those with prolonged high fever are the right 

candidates. “We have seen about five cases of scrub typhus, a relatively rare condition in 

urban areas. The clue we had was that these people had all been trekking in the wild or 

had been in forest areas (where the disease-causing mite lives) recently. They all came 

undiagnosed, and had that situation continued they would have died,” the Dr. explains.

“Unless diagnosis is done at the right time, a whole bunch of complications can ensue,” 

adds a Dr. Also, it is essential for a multi-disciplinary team to be available on call in order 

to do a thorough investigation that will reveal the real cause of the fever, she says.

“You cannot really call a fever ‘ordinary’. Something as simple as malaria can cause lung 

injury and turn out to be fatal,” says a Dr.

ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.

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