What are the causes of fever, headache, and dizziness?

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Last updated: April 25, 2025View editorial policy

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Differential Diagnosis for Fever, Headache, and Dizziness

Single Most Likely Diagnosis

  • Viral upper respiratory infection: This is a common condition that often presents with fever, headache, and dizziness due to the body's inflammatory response to the virus.

Other Likely Diagnoses

  • Sinusitis: Inflammation of the sinuses can cause fever, headache (often localized to the face), and dizziness, especially if there is significant nasal congestion or sinus pressure.
  • Migraine: Although typically characterized by severe headache, migraines can also cause fever and dizziness, particularly if the migraine is severe or if the patient experiences a migraine with aura.
  • Influenza: Similar to viral upper respiratory infections, influenza can present with fever, headache, and dizziness, especially during peak flu seasons.

Do Not Miss Diagnoses

  • Meningitis: An infection of the protective membranes covering the brain and spinal cord, meningitis is a medical emergency that can present with fever, headache, and dizziness, along with stiff neck and confusion.
  • Encephalitis: Inflammation of the brain tissue, usually due to viral infections, can cause fever, headache, dizziness, and altered mental status, requiring prompt medical attention.
  • Subarachnoid hemorrhage: A life-threatening condition involving bleeding into the space surrounding the brain, it can present with sudden severe headache, fever, and dizziness.
  • Brain abscess: A rare but serious condition where an abscess forms in the brain, it can cause fever, headache, and dizziness, among other neurological symptoms.

Rare Diagnoses

  • Temporal arteritis: An inflammation of the blood vessels in the head, it can cause fever, headache, and dizziness, particularly in older adults.
  • Neurosyphilis: A complication of untreated syphilis, it can cause a wide range of neurological symptoms, including fever, headache, and dizziness.
  • Brain tumor: Although rare, brain tumors can cause a variety of symptoms depending on their location, including fever, headache, and dizziness, especially if they cause increased intracranial pressure.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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