What causes chest pain, fever, stomach pain with appetite and weight loss?
Patient: Hi I have systemic lupus and have recently returned from a trip to Haiti . I was hospitalised for two days with general malaise and left leg pain plus severe right lower abdo pain . I have been cleared of DVT and peritonitis and have been released on 25 mg prednisone but in the last two day I have developed chest pain and low grade fevers as well as generalised stomache pain . I have lost 5 kilos in the last week and have no appetite Doctor: Hi,Thank you for your query. I can understand your concerns.Fever is common in SLE (Systemic Lupus Erythematosus), either from secondary infection or the disease per s e.Fever and weight loss accompany active disease . Fever & chest pain combination point towards the possibility of Pleuritis+/-pneumonitis. Generalised stomache pain, in addition may occur fromvasculitis of intestine,not uncommomn. Since you are already on steroid,you have to take antacid like Pantoprazole 20-40 mg orally daily.Regards Dr. T.K. Biswas M.D.Mumbai