What causes afternoon fever after appendix removal in aged woman?
Patient: 84 year old woman had appendix removed 5 wks. ago. She has low grade fever each afternoon, into evening of 99.4-100.7. Has been to ER and dr. several times and all blood work is normal now. She was on Amox. for 5 days 3 weeks ago and the fever seemed to be more controlled. She takes a Motrin or two each day if temp. goes above 100 and it brings her temp. down to about 98.8. Ruled out absess with CT scans. Any suggestions? Doctor: fever lasting for 5 weeks could be tuberculosis. I'm assuming she initially presented with abdominal pain and appendicitis was diagnosed. I would ask if she has any bowel symptoms or abdominal pain since the fever began. colonoscopy would then be ideal.