Fever That Comes and Goes – Causes, Diagnosis and Treatment

Fever That Comes and Goes – Causes, Diagnosis and Treatment at Emirates Hospitals Group

Overview

A fever that comes and goes, or intermittent fever, is characterized by fluctuations in body temperature, where it rises and falls throughout the day or over several days. This type of fever can be a sign of various conditions, ranging from infections to chronic illnesses. The pattern and duration of the fever are important clues in identifying the underlying cause.

Causes

1. Infections – Intermittent fever is commonly associated with infections like malaria, tuberculosis, or typhoid fever. These infections cause periods of fever that subside and then reoccur.
2. Chronic Inflammatory Conditions – Diseases such as rheumatoid arthritis or lupus can lead to intermittent fevers due to inflammation in the body.
3. Abscesses – A localized collection of pus (such as an abscess in the abdomen or lungs) can cause fever that fluctuates.
4. Cancer – Certain cancers, like lymphoma or leukemia, may present with fever that comes and goes, especially in the early stages.
5. Autoimmune Disorders – Conditions like Still’s disease can result in periodic fevers as part of an inflammatory response from the immune system.
6. Drug Reactions – Some medications, such as antibiotics or anticonvulsants, can cause fever that comes and goes as a side effect, often referred to as drug-induced fever.
7. Post-Surgical or Post-Trauma – After surgery or injury, fever may occur intermittently as the body recovers or responds to inflammation.

Diagnosis

1. Medical History & Physical Exam – A doctor will assess recent infections, travel history, or underlying conditions.
2. Blood Tests – To check for infections, inflammation markers, or signs of cancer.
3. Imaging Tests – X-rays, ultrasounds, or CT scans to detect abscesses or tumors.
4. Cultures – Blood, urine, or other fluid samples may be tested to identify specific pathogens.

Treatment Options

• Antipyretics – Medications like acetaminophen or ibuprofen can help manage fever symptoms.
• Antibiotics or Antivirals – If an infection is identified, specific medications will be prescribed.
• Treating Underlying Conditions – Managing the root cause, such as autoimmune diseases, abscesses, or cancer, with appropriate therapies.

Fever that comes and goes should be evaluated by a healthcare professional to determine the underlying cause and begin proper treatment.

Related Treatments

• Kidney Cancer