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Pancreas Cancer

Fever was posted 04/21/2015 12:03 pm by Anonymous
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A couple things to think about with fever....

Most of the time a fever will NOT be due to just the cancer alone, or ?the liver (not sure what you meant by that though).

We must always think of infection as the cause. A fever > 100.4 should lead to a call to the doctor always, and if there are other symptoms (especially chills, confusion/weakness/lethargic) you should think about going to the ER. Most of us are at increased risk of infection while on chemo, and especially if our white blood cells (especially neutrophils) are low due to the chemo. In the ER, they should check your blood for signs of infection, your urine, and do a chest XRAY at a minimum as well as basic blood tests.

102 fever is quite high, and fever like this + chills is almost an emergency. When my Mom was like this I called her doctor and took her to the ER.

Another cause of fever that we should keep in mind are blood clots. If you ever have a fever, and notice one leg is more swollen/red/tender than the other (eg. leg DVT), or if you suddenly have difficulty breathing (lung PE) than sometimes these will also cause a fever. We are all at a higher risk of blood clots when you have cancer, and PC has one of the HIGHEST risks of blood clots of all cancers. Don't forget this, as the ER doctors will sometimes forget this.

If you have had recurrent fevers, and they are shown to NOT be due to infection or a blood clot, sometimes they are related to chemo. My Mom used to have fevers a few days after Gemzar/Abraxane chemo. We always made sure there were not signs of infection, brought her to the doctor initially, and even did an ultrasound to check for leg blood clots, but in the end they decided it was the chemo.

Hope this helps. By now the CT results must be back. Wishing the best for you and your loved one.

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