eWellness: Tips to differentiate between different types of fever
Dr KK Aggarwal, 17 February 2018
Different fevers can be differentiated clinically. Following are few tips:
- If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in Vidarbha region in India.
- In malaria, chills occur in the afternoon; in filaria, the chills occur in the evening.
- Fever with joint pains on extension is often due to Chikungunya (flexion improves the pain)
- Think of dengue if there is fever with itching, rash and periorbital pain.
- In presence of fever with single chills think of pneumonia.
- Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in the children.
- Fever with red angry–looking throat: Think of streptococcal sore throat
- Fever with red epiglottis: Think of Hemophilus infection
- Fever with cough and or nasal discharge: Think of common flu
- Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
- Fever with toxic look, persistent fever: Look for typhoid
- Fever with no or low rise in pulse: Look for typhoid
- Fever with urinary symptoms (burning, frequency): Rule out urinary infection.
- Fever with high TLC (white cell count) and liver pain: Rule out liver abscess
- Fever with watery diarrhea, with no blood or mucous: Rule out acute gastroenteritis
- After the fever is over, jaundice appears: This is viral hepatitis
- After the fever subsides, one feels very weak: Rule our dengue hemorrhagic fever.