Recurrent Infections: Causes and When to Seek Help - Internal Medicine

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Recurrent inflammatory colds?


Hello, doctor.
In the past month, I have been experiencing recurrent episodes of fever and inflammation.
The first instance was a sudden acute fever, which did not show significant signs of subsiding after two days.
After visiting my family physician, I was diagnosed with a streptococcal infection causing inflammation, and I improved after taking medication at home.
The second episode involved persistent diarrhea, and my family physician diagnosed it as a norovirus infection, which also improved with home treatment.
Most recently, I woke up with a sore throat and nasal congestion, resembling cold symptoms.
However, throughout this month, I have experienced mild fever (around 37.5 degrees Celsius) that sometimes escalates to 38 degrees, and occasionally I have temporary auditory distortion.
I would like to know if this indicates other inflammatory issues within my body and which specialty or tests I should pursue.
Thank you, doctor.

Chief complaints: fever, diarrhea, cough, sputum, nasal congestion, runny nose, intermittent auditory distortion, sore throat.

Mr. Li, 20~29 year old female. Ask Date: 2024/06/06

Dr. Lin Wufu reply Internal Medicine


Hello: Your situation is relatively complex, and it is recommended that you visit the Infectious Disease outpatient clinic for evaluation.
Additionally, if you experience any changes in hearing, it is advisable to see an Ear, Nose, and Throat (ENT) specialist to rule out more obvious inflammatory causes such as otitis media.

Reply Date: 2024/06/06

More Info


Recurrent infections can be quite concerning, especially when they manifest as fever, throat pain, diarrhea, and other symptoms over a short period. Your experience of having multiple infections within a month, including streptococcal throat infection, norovirus, and now symptoms resembling a common cold, raises a few important considerations regarding your immune system and overall health.

Firstly, recurrent infections can indicate an underlying issue with the immune system. The immune system is a complex network of cells, tissues, and organs that work together to defend the body against harmful pathogens. If you are experiencing frequent infections, it may be worthwhile to evaluate your immune function. Factors such as stress, poor nutrition, lack of sleep, and underlying health conditions can compromise immune response, making one more susceptible to infections.

In your case, the initial diagnosis of a streptococcal infection followed by norovirus suggests that you may have been exposed to different pathogens in a relatively short time frame. It is not uncommon for individuals to experience multiple infections, especially if they are in close contact with others who may be ill, or if they have a weakened immune response. The presence of mild fever (around 37.5 to 38 degrees Celsius) accompanying these infections is a typical response of the body as it fights off pathogens.

The intermittent auditory issues you mentioned, such as temporary hearing loss, could be related to upper respiratory infections. Conditions like sinusitis or eustachian tube dysfunction can lead to fluid buildup in the middle ear, causing hearing changes. It’s essential to monitor these symptoms closely, as they could indicate a more significant issue, particularly if they persist or worsen.

Given your symptoms, it would be advisable to seek further medical evaluation. A visit to an Ear, Nose, and Throat (ENT) specialist could be beneficial, especially if you continue to experience throat pain and auditory issues. They can assess for any underlying conditions such as sinus infections or other ENT-related issues that may be contributing to your symptoms.

Additionally, if you find that you are frequently falling ill, it may be prudent to consult with an immunologist. They can perform tests to evaluate your immune system's functionality and determine if there are any deficiencies or abnormalities that need to be addressed.

In terms of immediate care, ensure you are staying hydrated, especially with the recent episodes of diarrhea. Over-the-counter medications may help alleviate some symptoms, but it’s crucial to follow up with your healthcare provider for a comprehensive evaluation and tailored treatment plan.

In summary, recurrent infections can be a sign of an underlying issue, and it is essential to seek medical advice to rule out any significant health concerns. Monitoring your symptoms, maintaining a healthy lifestyle, and consulting with specialists as needed will help you manage your health effectively.

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