Does a Blood Clot Cause a Fever and Other Symptoms?

It is possible for a blood clot to cause a fever, although it is not always the most prominent or immediately recognizable symptom. Understanding how blood clots can form and affect the body helps clarify this connection. While fever can be a sign, other symptoms are often more specific indicators of a blood clot’s presence.

Understanding Blood Clots

A blood clot is a gel-like mass of blood that forms when components like platelets, proteins, and cells stick together. This process, known as coagulation, is a natural bodily response to injury, designed to stop bleeding. After the bleeding stops and healing occurs, the body typically breaks down and removes the clot. Problems arise when blood clots form inappropriately inside a blood vessel or fail to dissolve as they should. These clots can block blood flow and can occur in various parts of the body. Common locations include deep veins in the legs (deep vein thrombosis or DVT), or they can travel to the lungs, leading to a pulmonary embolism (PE).

The Connection Between Blood Clots and Fever

A blood clot can trigger a fever through the body’s inflammatory response. When a clot forms within a blood vessel, the immune system may perceive it as an abnormal presence. This perception initiates an inflammatory cascade involving various immune cells. These immune cells release pyrogens, molecules that signal the brain’s thermoregulatory center to raise the body’s temperature set-point. This elevation in the set-point leads to the physiological changes that result in a fever. The fever associated with a blood clot is generally low-grade, reflecting the systemic inflammatory reaction, and is not due to an infection.

Other Important Symptoms of Blood Clots

While a low-grade fever can occur with a blood clot, other signs are more commonly associated with clots and are crucial for recognition. Symptoms depend on the clot’s location in the body.

For deep vein thrombosis (DVT), common symptoms include throbbing pain, swelling in one leg, and warmth around the affected area. The skin over the clot may also appear reddish or discolored, and veins near the surface might become more prominent.

If a blood clot travels to the lungs, causing a pulmonary embolism (PE), symptoms can be more severe and sudden. These include sudden shortness of breath, chest pain that often worsens with deep breathing or coughing, a rapid heart rate, and an unexplained cough, which may sometimes produce bloody mucus. Lightheadedness or fainting can also occur.

When to Seek Medical Attention

If symptoms suggestive of a blood clot are present, prompt medical attention is important. This includes sudden or severe pain, swelling, warmth, or discoloration in a limb. Even if a fever is absent or low-grade, these physical signs warrant professional evaluation. For symptoms indicating a possible pulmonary embolism, such as sudden shortness of breath, chest pain, or coughing up blood, seeking emergency medical help is necessary. These symptoms can signal a life-threatening condition that requires immediate intervention.