Fever
Fever is usually caused by an infection. But unexplained fever can be a symptom of leukaemia or other blood cancers. Find out when to seek help.
Summary
- A fever is a high temperature (usually 38°C or 100.4°F or above).
- It is very common. Most of the time it is your body’s normal response to infection.
- Most people with fever do not have leukaemia. But unexplained fever can be a symptom of leukaemia or other types of blood cancer.
- If you have fever that lasts for more than 3 days, make an appointment with your GP and ask for a blood test.
About fever
A fever is a high body temperature. This usually means 38°C (100.4°F) or above.
Having a high temperature is extremely common. It’s part of your body’s natural response to infection. Most of the time it is nothing serious. But unexplained fever can be a symptom of leukaemia and other types of blood cancer.
- Normal body temperature is around 37°C (98.6°F). This can vary slightly from person-to-person. It can also change slightly at different times of day.
- If you have a fever, you might notice that you feel hot, cold or shivery. Your skin might look flushed or feel warmer to the touch than usual. You might feel achey.
- Children might seem floppy, listless or irritable. Their skin might look flushed and feel warm or hot when you touch it. They may be cold and shivery.
- Or you might notice you have a fever when you take your temperature.
Like all symptoms of leukaemia, fever can be caused by many things. Having an unexplained fever does not mean you definitely have leukaemia. But if you’re worried about your symptoms, it’s a good idea to see your GP.
Why do people with blood cancer get fever?
We don’t know exactly why people with leukaemia or other blood cancers get fever. There are a few possible causes.
- People with leukaemia or other blood cancers often have a low white blood cell count. This means they are more likely to get infections than other people. Your immune system’s response to infection can cause a high temperature.
- Cancer can activate an inflammatory response in your body. This helps your immune system fight the cancer, but it can also cause fever.
What else can cause fever?
Fever can be caused by lots of things. Most people who have a fever do not have leukaemia.
Other things that can cause a fever include:
- Infections. These are the most likely cause of fever. They include common things like colds and flu.
- Allergies.
- Some vaccinations.
- Reactions to blood transfusions or some medicines.
- Blood clots.
- Other types of cancer.
When to seek help
- If you are having treatment for blood cancer and you have a fever, contact your haematology team or GP urgently.
- If you think you or someone you care for might have a serious infection, call 999 or go to A&E straight away. If you're not sure if the symptoms are serious, visit NHS 111 online or call 111 for advice.
- If you feel very unwell or you’ve had a fever for 3 days or more, visit NHS 111 online, call 111 or make an urgent appointment with your GP.
If you have a fever that lasts for more than 3 days, make an appointment with your GP.
Nearly 4 in 10 people with leukaemia wait 3 months or more before contacting a GP about their symptoms.
Some signs that you should contact your GP include a fever that:
- Lasts for 3 days or more
- Does not go away after taking paracetamol
- Is accompanied by other symptoms of leukaemia
- Comes and goes in a recurring pattern
Your GP will examine you to look for signs of infection or other causes of fever. They might ask for samples of your pee, poo or spit to send for tests.
If you have a fever and your GP can’t identify a cause, they should consider an urgent blood test. If they don’t offer you a blood test, ask for one.
If you are struggling to get help
Nearly 3 in 10 people with leukaemia have to speak to their GP three or more times before getting a diagnosis.
There may be many possible explanations for your symptoms for a GP to consider.
If you have to go back to your GP three or more times about the same symptom, remind them about Jess’ rule. This encourages GPs to ‘reflect, review and rethink’, particularly if:
- You still have the symptoms
- They have got worse
- They are unexplained
Take a look at our Spot Leukaemia campaign to find out what we’re doing to help the public and GPs spot the signs of leukaemia sooner.
Sources
We used an AI tool to help identify relevant evidence sources for this webpage, such as scientific journals and clinical guidelines. A human checked the reliability of these sources.
Sources we used to develop this information
Black GB, Boswell L, Harris J, Whitaker KL. What causes delays in diagnosing blood cancers? A rapid review of the evidence. Primary Health Care Research & Development. 2023 Jan;24:e26. DOI: https://doi.org/10.1017/S1463423623000129
Clarke RT, Jones CH, Mitchell CD, Thompson MJ. ‘Shouting from the roof tops’: a qualitative study of how children with leukaemia are diagnosed in primary care. BMJ Open. 2014 Feb;4(2):e004640. DOI: https://doi.org/10.1136/bmjopen-2013-004640
Clarke RT, Van den Bruel A, Bankhead C, Mitchell CD, Phillips B, Thompson MJ. Clinical presentation of childhood leukaemia: a systematic review and meta-analysis. Archives of Disease in Childhood. 2016 Oct 1;101(10):894-901. DOI: https://doi.org/10.1136/archdischild-2016-311251
Foggo V, Cavenagh J. Malignant causes of fever of unknown origin. Clinical Medicine. 2015 Jun 1;15(3):292-4. DOI: https://doi.org/10.7861/clinmedicine.15-3-292
Howell DA, Smith AG, Jack A, Patmore R, Macleod U, Mironska E, Roman E. Time-to-diagnosis and symptoms of myeloma, lymphomas and leukaemias: a report from the Haematological Malignancy Research Network. BMC Blood Disorders. 2013 Oct 31;13(1):9. DOI https://doi.org/10.1186/2052-1839-13-9
National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary: Haematological cancers - recognition and referral. Revised 2025. Available at: https://cks.nice.org.uk/topics/haematological-cancers-recognition-referral/ [Accessed May 2026]
National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary: Tiredness/fatigue in adults. Revised June 2025. Available at: https://cks.nice.org.uk/topics/tiredness-fatigue-in-adults/ [Accessed May 2026]
National Institute for Health and Care Excellence (NICE). Suspected cancer: recognition and referral. NICE guideline NG12. 23 June 2015; updated 25 April 2026. Available at: https://www.nice.org.uk/guidance/ng12 [Accessed May 2026]
NHS cancer programme: faster diagnosis framework. November 2022. Available at: https://www.england.nhs.uk/publication/cancer-programme-faster-diagnosis-framework/ [Accessed May 2026]
NHS England. National Cancer Patient Experience Survey 2024. Available at: https://www.ncpes.co.uk/latest-national-results/ [Accessed May 2026]
NHS Scotland. Scottish referral guidelines (SRGs) for suspected cancer: Haematological cancers. Available at: https://www.rightdecisions.scot.nhs.uk/scottish-referral-guidelines-srgs-for-suspected-cancer/haematological-cancers/ [Accessed May 2026]
Rolston KV. Infections in patients with acute leukemia. In: Infections in Hematology 2014 Oct 20 (pp. 3-23). Berlin, Heidelberg: Springer Berlin Heidelberg. DOI: https://doi.org/10.1007/978-3-662-44000-1_1
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Page last reviewed: 10 September 2026
Updated September 2026
Next review due: 30 September 2029
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