Recurrent Febrile Episodes Since Childhood: A 15-Year Longitudinal Case Report of Integrative Management
Abstract
Abstract Background: Recurrent febrile episodes without an identifiable underlying cause remain a diagnostic and management challenge in clinical practice. Long-term observational case reports describing integrative management are limited. Case Presentation: We report the case of a 45-year-old Bangladeshi man with recurrent febrile episodes beginning at 3–4 years of age. Episodes typically occurred once a year, occasionally twice, and rarely three times annually. They usually lasted 3–5 days and were characterized by chills, shivering, body heaviness, fatigue, fever reaching approximately 102°F, and profuse night sweats before gradual recovery. Mild cough and sore throat were occasionally reported. At 19 years of age, the patient developed varicella (chickenpox) and recovered without long-term complications. He also reported lifelong sensitivity to cold, with several febrile episodes occurring after prolonged exposure to rain. These observations were based on the patient's history and do not establish a causal relationship. Management and Outcome: During febrile episodes, the patient received conventional symptomatic treatment, primarily paracetamol and occasional antibiotics when clinically indicated. Complementary homeopathic care included constitutional treatment during childhood and individualized management in adulthood. According to the patient's treatment history, Aconitum napellus 200C was commonly used during typical febrile episodes, whereas Gelsemium sempervirens…
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