Unexplained High Fever and Headache: Possible Neurological Issues? - Neurology

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Based on your symptoms and the sequence of events you've described, it seems that you are experiencing a complex medical situation that warrants careful consideration. The combination of high fever, severe headache, elevated white blood cell count, and the presence of white discharge from the urethra suggests that there may be an underlying infection or inflammatory process at play.
Initially, the high fever and headache could indicate a viral or bacterial infection. The fact that you had a fever reaching 40 degrees Celsius (104 degrees Fahrenheit) is concerning, especially since it was accompanied by severe headache and elevated inflammatory markers. The absence of typical cold symptoms (like nasal congestion or sore throat) further complicates the picture, as it suggests that this may not be a straightforward upper respiratory infection.

The elevated white blood cell count (25,000 and later 22,000) indicates that your body is fighting an infection. The inflammatory index of 30 and 24 also supports this notion. The CT scan being normal is a good sign, as it rules out some serious conditions like a brain abscess or other structural abnormalities. However, the persistence of your headache and the new symptom of white discharge from the urethra raises the possibility of a urinary tract infection (UTI) or even a sexually transmitted infection (STI), especially since you mentioned the discharge.

The back pain you are experiencing could also be related to a kidney infection, which can occur if bacteria travel from the bladder to the kidneys. This could explain the combination of fever, headache, and back pain. The fact that you are experiencing dizziness and occasional visual disturbances could be related to the headache or possibly a side effect of medications you are taking.

Given that your symptoms have not improved significantly and you are still experiencing headaches and other concerning symptoms, it is crucial to seek further medical evaluation. While the emergency department has provided some initial care, the recommendation to see a neurologist is appropriate, especially if your symptoms persist. Neurologists specialize in conditions affecting the nervous system, and they can help determine if there is a neurological cause for your headaches.

If local neurologists are unavailable, it may be necessary to consider traveling to a medical center that can provide the necessary care. However, before making that decision, it would be wise to consult with your primary care physician or the emergency department again. They may be able to provide a referral or suggest alternative options for care.

In summary, your symptoms could be indicative of an infection, possibly involving the urinary tract or kidneys, and the persistent headache may require further neurological evaluation. It is essential to continue monitoring your symptoms closely and seek medical attention if they worsen or if new symptoms arise. Your health is paramount, and ensuring you receive the appropriate care is crucial in managing your condition effectively.