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Low grade fever continuing even after 2 weeks of surgery

omkaroomkar Posts: 1
edited 06/11/2012 - 8:58 AM in Spinal Stenosis

My mother 70 year old has undergone a decompression laminectomoy on L3-L4 & L4-L5 on 31st oct. She was discharged from hospital on 4th nov after satisfactory recovery. She was on IV antibiotic injections after the surgery for 3 days and was put on oral antibiotic and paracetamol 650 mg. as oral medicine to be taken at home.

On first day at home, I observed a fever of 101.5°f. This was on 4th day of surgery. This level of fever however subsided after giving one antibiotic and paracetamol. The antibiotic (1-0-1) & paracetamol (1-1-1) dose continued for next seven days during which fever upto 100° f was observed several times while on above medication.
Her incision has healed very well with no problem in this area. Doctor advised readmission to evaluate for this continuing low grade fever. At hospital, they carried out various investigation such as complete blood count, kidney function test, urine culture, blood culture, malaria parasite, widal etc. All the above tests were normal or negative indicating no infection. However, the low grade fever continues intermittently even while on ceftazidime IV injection being given for the suspected infection.

It would be very helpful if i can get some help in solving this condition.


  • It's best to sit down with the Dr. and go through everything and hoping she had an x-ray at the surgery area or CT and hoping she had x-ray of the chest to rule out any post complications like pneumonia. Does she have a PICC line in her arm for IV antibiotics? Usually when patients have this PICC line and fever the PICC line will be removed and the tip of it cut with sterile scissors and sent to the lab to make sure that isn't causing infection. If she's still in hospital the Dr. should check with infectious disease Dr. as a safe measure is what they usually do for protocol.

    There's always a chance an antibiotic can give a low grade fever also. Did she have a blood transfusion during her surgery? I guess since they did blood cultures and urine cultures they may do a virology culture also and possibly leg dopplers.

    Remember this is only general information and your Dr. should be checking all this as per hospital protocol. Will she be continuing IV antibiotics? Why is she on antibiotics? The paracetamol also has tylenol in it that can mask a fever also so you may want to talk with him about this. I do hope your Mother gets better and heals well from her surgery. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
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