patient experiencing spiking temp, 101.8 with mild chills and clammy skin. has 2 days ago been to see doctor with pain in one side of rib cage( hurts when inhaling)- put on pain killers and diagnosed with cartilage inflammation. patient is post (non- intervention) angiography 12 days ago! could his symptoms of spiking fever bee related to him having developed endocarditis???
Hello, Fever such as this and when spiking needs a thorough investigation especially given the history of a procedure done 48 hours before. Endocarditis is a possibility and MUST be excluded given the serious consequences this can have. A full clinical check, bloods such as hologram, Lots, infection screen with blood c/s, CRP, Chest X-Ray, ECG, 2D-ECHO are minimum investigations to start with. Control the temperature with plain paracetamol 1g up to twice daily 12 hrs apart and wait for the infection screen results. Costochon Chat Doctor. Best Wishes.