High Fever Last Year, No Fever This Year: ENT Symptoms Explained - Otolaryngology

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Last year, I frequently had high fevers, but this year I have symptoms without a fever?


Since last year, after being discharged from the intensive care unit and transferred to the step-down unit, I have experienced high fevers for a week.
A month later, I had another episode of high fever, taking over ten antipyretics daily and being isolated.
Three months later, I had another high fever that lasted one to two weeks, and a month later, I had another high fever that lasted nearly two weeks before subsiding.
The doctor initially administered antibiotics, but later blood tests indicated that the antibiotics were ineffective, so I was given intravenous fluids instead.
During these fever episodes, I underwent rapid tests, all of which were negative, but my temperature reached over 40 degrees Celsius.
These fevers coincidentally occurred while I was hospitalized.
Recently, in January, I experienced fever again, along with headaches, coughing to the point of nausea (the cough was very severe), sneezing, and facial flushing.
Everyone keeps asking me if I have a fever.
Last week, when I visited the hospital, the doctor asked me to take my temperature, predicting that I might be coming down with a cold, but I haven't had a fever.
What should I do?

Ms. Zhang, 10~19 year old female. Ask Date: 2020/07/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: To enhance self-health management, if your body temperature exceeds 38 degrees Celsius or if you experience persistent discomfort, it is recommended to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/07/18

More Info


It sounds like you've been through a very challenging time with your health, particularly with the recurrent high fevers and the symptoms you're experiencing now. Given your history of high fevers while hospitalized, it’s understandable that you may be feeling anxious about your current symptoms, especially since they include headaches, severe coughing, and facial flushing.

First, let's address the recurrent fevers you experienced last year. High fevers can be a sign of various underlying conditions, including infections, inflammatory diseases, or even complications from previous illnesses. The fact that you were treated with antibiotics and they were ineffective suggests that the cause of your fever may not have been bacterial in nature. This is not uncommon, as many viral infections do not respond to antibiotics. Additionally, the fact that you were in a hospital setting could have exposed you to various pathogens, which may have contributed to your recurrent fevers.

Now, regarding your current symptoms—headaches, severe coughing, sneezing, and facial flushing—these could indicate a respiratory infection or an allergic reaction. The absence of fever does not rule out an infection; some viral infections can present with mild symptoms without a significant fever. The severe cough that makes you feel like vomiting is particularly concerning, as it may indicate bronchial irritation or inflammation.
Here are some steps you can take:
1. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their severity, and any other associated symptoms. This information can be invaluable for your healthcare provider.

2. Hydration and Rest: Ensure you are staying well-hydrated and getting plenty of rest. Your body needs energy to fight off any potential infection.

3. Consult a Specialist: Given your history and current symptoms, it may be beneficial to see an ENT (Ear, Nose, and Throat) specialist or a pulmonologist. They can perform a thorough examination and may recommend imaging studies, such as a chest X-ray, or further blood tests to rule out any serious conditions.

4. Consider Allergies or Asthma: If you have a history of allergies or asthma, your symptoms could be related to these conditions. An allergist can help determine if your symptoms are due to environmental triggers.

5. Follow-Up Care: Since you have been in and out of the hospital, ensure that you have a follow-up plan with your healthcare provider. Regular check-ups can help monitor your condition and adjust treatment as necessary.

6. Seek Immediate Care if Necessary: If your symptoms worsen, especially if you experience difficulty breathing, chest pain, or if you develop a fever, seek medical attention immediately.

In summary, while your current symptoms may not indicate a fever, they still warrant attention, especially considering your medical history. It's essential to communicate openly with your healthcare providers about your concerns and symptoms, as they can guide you toward the appropriate diagnostic tests and treatments. Remember, your health is paramount, and taking proactive steps can help you manage your symptoms effectively.

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