
Viral Fever With Headaches At The Vertex And Neck. Has Autoimmune Thyroid Disease. Only On Paracetamol, Okay?

Thanks for the query.
Though most viral fevers cause generalized myalgia, presence of headache and neck pain one should consider the possibility of asceptic or viral meningitis. Meningitis is inflammation of the leptomeninges as a manifestation of central nervous system (CNS) infection. In uncomplicated viral meningitis, the clinical course is usually self-limited, with complete recovery in 7-10 days.
The bottom line is that you need to XXXXXXX your GP for a good physical examination and to look for physical signs of meningitis. High index of suspicion is required for accurate diagnosis and management in such cases. One has to also consider other pathogens, such as bacteria (pyogenic) as the cause if some one has high fevers.
So I personally feel a good physical evaluation is required in you and if suspicious of neuroinfection you require additional tests like lumbar puncture and head scan. CSF examination is the most important test in differentiating the cause of meningitis. Prior to lumbar puncture (LP), a computed tomography (CT) scan should be performed in patients with any abnormal neurologic sign, to exclude an intracranial lesion or obstructive hydrocephalus.
I thank you again for submitting the query. If you have any additional concerns, I will be available for follow up query.
Please accept my answer in case you have no follow up queries.
Sincerely,
Dr Shiva Kumar R
Consultant Neurologist & Epileptologist

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