Brief Answer: Could you tell me more about these chills? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this chills. I hope we get to pinpoint the cause and offer real solutions that would be long lasting. 1. I will like to know ho often you get these chills when they do occur? this is to say do they occur within a sort period during the year or they occur once in a while all year round?. 2. For the past years, have you had any diagnosis when you go to the hospital with this condition that can explain why you are having these symptoms? I understand that you have positive Mantoux test. However, these symptoms of having fever once in a while would not really be suggestive of tuberculosis. Other symptoms like weight loss, lack of appetite, body weakness, etc are all lacking to make this more suggestive. The brevity of the febrile episodes are not also very suggestive of an active infectious process. Let me hear fro you when you return from the hospital. I will like to know what your doctors found on physical examination and any preliminary investigation results. Waiting to hear from you. I wish you well and thanks for using our services. Dr. Ditah, MD.

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Brief Answer: Not caused by an infection Detailed Answer: Hi and thanks for this follow up information. There is just no infectious process that can explain these symptoms. I have a strong feeling that these findings can only be explained by chemically active substances in the body that get to undergo some massive fluctuations in levels resulting in these symptoms. Hormones may be the likely cause of these. I will suggest that you get blood samples collected during similar episodes for extensive laboratory testing paying great attention to hormone levels. I will also encourage that you get an endocrinologist consult for this. I hope this helps. feel free to ask for more clarification should need be. Thanks. Dr. Ditah, MD.

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