Question
A diabetic patient has been suffering from a persistent fever for over a month, with the fever occurring regularly at around 4 or 5 PM and 3 or 4 AM, lasting approximately 30 minutes each time, accompanied by sinus-related symptoms. All other examination results are normal. Ask about the possible causes of the long-term fever.
Answer
Diabetes is a complex syndrome caused by various factors such as genetics, immune dysfunction, and microbial infections, leading to reduced islet function and insulin resistance, resulting in a series of metabolic disorders. Based on the description, the patient’s condition may be related to tuberculosis infection, and it is recommended to undergo relevant tests for confirmation.