unknown cause of fever

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midlifemom
Posts: 1358
Joined: Wed Jan 15, 2014 10:58 am
Location: NJ

unknown cause of fever

Postby midlifemom » Sat Jul 11, 2015 3:29 pm

Hi all, hope everyone is having some good today.

I woke up this morning with a fever of 101.4.
Butt, I had plans, so took two Motrin and ignored it.
I know, I'm not supposed to ignore fevers, BUTT I didn't want to spend the day in the emergency room like I did 2 months ago!

What happened two months ago, was 9 days after fullfury infusion, I woke up with temp of 101. Like a dutiful patient, I called into Kemeny's office and followed their direction to go to my local onc for blood and urine work. NOTHING was found. It was a wasted day and I had had some pretty good plans for that day. The fever disappeared on its own after about six hours.

Today is ten days after last infusion. I get Neulasta injections every two weeks so my wbc is always fine. I checked my temp at the six hour mark, figuring the Motrin most likely had worn off. Temp was 99.5. Now, ten hours later, Motrin definitely gone, temp is 99.

My question, has anyone had similar scenario? Did the fevers ever stop? Or was a cause ever found?

Thanks for your input.
Stage 3 cc - dx Jan '14 age 53, cea 2.9
t2n2m0, KRAS mutant, MSS
Folfox Feb - Aug '14
Nov '14 cea 27.7 -2 liver masses
Dec '14 left lobectomy and HAI
Jan '15 FUDR and FOLFIRI
Aug '15 fudr done, liver clear, add avastin for lungs. Cea 4.3
Feb '16 CEA rising
May '16 2 wk break then drop Iri for 6 weeks.
Jul '16 cancer grew, constricted main bile duct. Stent inserted. On break till jaundice clears. CEA climbing. Doing reduced Folfox. Allergic to Oxali.
Sep'16 chemo failed. Trial or hospice?

Lee
Posts: 6202
Joined: Sun Apr 16, 2006 4:09 pm

Re: unknown cause of fever

Postby Lee » Sun Jul 12, 2015 12:12 pm

Don't have any advice regarding the fever. Bumping this to the tops in hopes that someone else who had the same issues can offer advice.

Take care,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

trbiggins
Posts: 163
Joined: Mon Dec 09, 2013 7:20 pm
Facebook Username: Richard Biggins
Location: North Carolina

Re: unknown cause of fever

Postby trbiggins » Sun Jul 12, 2015 1:38 pm

I get those fevers time to time after treatment. Never can find a reason. Bloodwork always okay. I used to go to the ER but now I just give it a little time and it usually goes away. But that's just me. Do what you think is best.

Richard
42 male at DX
Husband, father (girls 13 and 16)
Stage IV mets to liver Oct 2013
Xelox Dec 13-Apr 14
Avastin, Xeloda Apr-July 2014
Vectibix July
Vectibix/Irinotecan Dec 2014
Colon resect/ HAI pump Jan 2015
Folfiri/Vectibix/FUDR ongoing

hart2hart
Posts: 796
Joined: Wed Nov 23, 2011 10:46 pm

Re: unknown cause of fever

Postby hart2hart » Sun Jul 12, 2015 1:43 pm

Hope your feeling better midlifemom!



Julie and Pete
Pete (hubby) Stage 3 VLRC - 11/11
Chemo/Rad/Ace Surgeon - 11/11 - 4/12
Oxi/Xeloda (Severe Toxicity to OXI) - 5/12 - 6/12
5Fu Only - 8/12 - 2/13
Liver Resection/Hai Pump/Folfiri/FUDR - 10/13 - 5/14
Lung Ablation (MSKCC) - 12/31/2014
Xeloda through 4/2015
NED - 1/2015 - 1/2020
Hai Pump/Port Removed - 1/2020

mackswife
Posts: 263
Joined: Fri Aug 17, 2012 7:11 pm
Location: Atlanta, Ga.

Re: unknown cause of fever

Postby mackswife » Sun Jul 12, 2015 2:24 pm

My husband has been having "tumor fevers". Some tumors produce substances which elevate body temp. Other times, fever can be caused by tumor lysis (tumor death), which would be good news. These fevers can come and go during the course of a few hours or days, but they are not signs of infection.
Husband IIIC;
7/12 - resection; 12 rounds folfox
CT/PET scans 4/13, 9/13 - NED
CT scan 3/14 - liver/LN mets
5/2/14- failed liver resection - peri. mets.
6 rounds of iri/avastin
8/26/14 - failed liver resect/HIPEC. dse. progression
9/14 - 3/15 - progression on chemo
3/23/15 - treatment stopped; working the bucket list

midlifemom
Posts: 1358
Joined: Wed Jan 15, 2014 10:58 am
Location: NJ

Re: unknown cause of fever

Postby midlifemom » Sun Jul 12, 2015 3:06 pm

Thanks all, I'm going with the tumor lysis theory!
Stage 3 cc - dx Jan '14 age 53, cea 2.9
t2n2m0, KRAS mutant, MSS
Folfox Feb - Aug '14
Nov '14 cea 27.7 -2 liver masses
Dec '14 left lobectomy and HAI
Jan '15 FUDR and FOLFIRI
Aug '15 fudr done, liver clear, add avastin for lungs. Cea 4.3
Feb '16 CEA rising
May '16 2 wk break then drop Iri for 6 weeks.
Jul '16 cancer grew, constricted main bile duct. Stent inserted. On break till jaundice clears. CEA climbing. Doing reduced Folfox. Allergic to Oxali.
Sep'16 chemo failed. Trial or hospice?

User avatar
GrouseMan
Posts: 854
Joined: Mon Aug 12, 2013 12:30 pm
Location: SE Michigan USA

Re: unknown cause of fever

Postby GrouseMan » Sun Jul 12, 2015 10:16 pm

You might consider keeping a diary when this happens in relation to your treatments duration etc, and discuss with you oncologist. Another thing that came to mind was early onset menopause, which can occur with women undergoing chemotherapy. Could this be a hot flash?

Just some thoughts.

GrouseMan
DW 53 dx Jun 2013
CT mets Liver Spleen lung. IVb CEA~110
Jul 2013 Sig Resct
8/13 FolFox,Avastin 12Tx mild sfx, Ongoing 5-FU Avastin every 3 wks.
CEA: good marker
7/7/14 CT Can't see the spleen Mets.
8/16/15 CEA Up, CT new abdominal mets. Iri, 5-FU, Avastin every 2 wks.
1/16 Iri, Erbitux and likely Avastin (Trial) CEA going >.
1/17 CEA up again dropped from Trial, Mets growth 4-6 mm in abdomen
5/2/17 Failed second trial, Hospitalized 15 days 5/11. Home Hospice 5/26, at peace 6/4/2017

midlifemom
Posts: 1358
Joined: Wed Jan 15, 2014 10:58 am
Location: NJ

Re: unknown cause of fever

Postby midlifemom » Mon Jul 13, 2015 7:54 am

Thanks Grouseman for diary suggestion. I will document this.
It isn't menopause, been there, done that.
Stage 3 cc - dx Jan '14 age 53, cea 2.9
t2n2m0, KRAS mutant, MSS
Folfox Feb - Aug '14
Nov '14 cea 27.7 -2 liver masses
Dec '14 left lobectomy and HAI
Jan '15 FUDR and FOLFIRI
Aug '15 fudr done, liver clear, add avastin for lungs. Cea 4.3
Feb '16 CEA rising
May '16 2 wk break then drop Iri for 6 weeks.
Jul '16 cancer grew, constricted main bile duct. Stent inserted. On break till jaundice clears. CEA climbing. Doing reduced Folfox. Allergic to Oxali.
Sep'16 chemo failed. Trial or hospice?


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