Hello Dr. Agar,
I am on daily nocturnal HHD. 7-8 hours each night, six nights a week. For the last 5 days, I have been getting a low grade fever (99 to 100 degrees Fahrenheit) about 2 hours after closing my dialysis session. The fever last for about 1-2 hours and subsides without any medication. The rest of the day I am totally fine.
I had my ‘weekly off dialysis night’ on Tuesday night and Wednesday morning there was no fever!
Any suggestions on what could be wrong?
Thanks!
-Kamal
Kamal … I would be suspicious re endocarditis … see your nephrologist, get blood cultures and a CRP, and see whether he thinks an echo - either a TTE or a TOE would be wise. Do NOT ignore this …
Ye go to your nephrologist asap… I really would recommend it.
As Nearlt 2 months have passed since Kamal’s first post, I guess all is sorted here.
Yes it is Dr. Agar. We started doing some tests but in a few days the fever just disappeared. Thanks for your tips though!
My wife has similar pattern of feverish feelings like burning body but no fever usually after dialysis (Hemodialysis at hospital twice a week) followed by whole body pain. It stays for 12-18hrs and goes away on its own. At times paracetamol tablets were taken for bodyache… this pattern continued for last 3-4 months, nephrologist has no clue.
She is using catheter on her right chest for dialysis for last 9 months.
Nephrologist has done CRP test followed by 2D echo along with few more blood tests but nothing indicate sign of sepsis or infection.
For last 2 weeks , pattern is changed ,now not only the dialysis day but other days also feverish ,burning sensation is occurring , just today i checked , she has light fever first 99.7 followed by 100.3 so I had given her paracetamol 650mg for fever.
I have asked the question in a separate thread so as not to mix this up with old thread. Sorry for trouble