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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Fever, Had Stroke, Have Hallucinations. Done MRI. What Is The Reason?

I recently ran a fever and it made me hear voices...which were only in MY head.Is their a possibility that something serious is going on or is this natural.None of my doctors seemed too concerned but I had an MRI and was given CIPRO for my fever.The voices occasionally come back faintly but I ignore them.Do I need to see a psychiatrist?
I do not heart them much now and only faintly.I also hallucinated but that has gone completely.I did have a stroke 4 yrs ago but have recovered some..I am 81 but apparently no problem with my cognitive ability.
Thu, 22 Aug 2013
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Psychiatrist,  's  Response
Hello,
Your age is a thing which makes you prone for cognitive disorders like dementia and delirium. You mention that you have no cognitive problems but you had fever during which you had hallucination. This gives us the differential of delirium and psychosis secondary to general medical condition (infection in your case). It is highly unlikely that you have first episode of primary psychosis at this age. Your infection was treated subsequently and if MRI was normal except for age related changes, you need not worry about anything. Enjoy your life and dont worry about voices as they are already on decline.
Hope this satisfies your query.
Regards.
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Have Fever, Had Stroke, Have Hallucinations. Done MRI. What Is The Reason?

Hello, Your age is a thing which makes you prone for cognitive disorders like dementia and delirium. You mention that you have no cognitive problems but you had fever during which you had hallucination. This gives us the differential of delirium and psychosis secondary to general medical condition (infection in your case). It is highly unlikely that you have first episode of primary psychosis at this age. Your infection was treated subsequently and if MRI was normal except for age related changes, you need not worry about anything. Enjoy your life and dont worry about voices as they are already on decline. Hope this satisfies your query. Regards.