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Hi, I Had A Fever And Swollen Lymph Nodes (less

Posted on Thu, 23 Jun 2022

Question: Hi,

I had a fever and swollen lymph nodes (less than 1 cm)in neck 3 months back.

Fever lasted for 2-3 weeks and was in anitibiotics(monocef iv) in hospital.

After that and now I had no fever or any symptons.But now also I get small(in mm range) lymph nodes in neck.

Currently
a)I have no fever,no night sweat
b)no weight loss
c)no itching

Attaching,CT,fnac and other results taken 3 months back..

I am worried about small (mm)nodes in neck .Kindly advise

Answered by Dr. dr. Jawahar Ticku (4 hours later)

Brief answer:
Cervical lymphadenopathy

Detailed answer:
Dear Mr Sasi,
Thanks for your query.

The lymph nodes present in your body as such seem to be insignificant and possibly after fever they have come up. Cytology report is also not significant. Still to resolve your concern it is advisable to have excision biopsy of one of the significant neck nodes for histopathological examination. This will rule out if you are not suffering from any lympho-proliferative disorder.

Truly,

Above answer was peer-reviewed by : Dr. Dr. Yogesh D

Follow up: Dr. dr. Jawahar Ticku (24 hours later)

Thanks doctor.

Meantime is there any anti inflammatory tablets I can try before going for biopsy?..when surgeon checked for biopsy last time he couldn't take it as the lump got smaller ..

Answered by Dr. dr. Jawahar Ticku (4 days later)

Brief Answer:
LYMPHADENOPATHY

Detailed Answer:
DEAR SASI,
THANKS FOR REVERTING.
THERE IS NO NEED TO TAKE ANY ANTI INFLAMMATORY DRUG. SINCE LYMPH NODES HAVE TURNED SMALL THEY WILL FURTHER GET SMALLER WITH PASAGE OF TIME AS I BELIEVE THAT IT WAS REACTIONARY LYMPH NODE ENLARGEMENT. IF THERE IS REALLY NO SIGNIFICANT PALPABLE LYMPH NODE YOU CAN KEEP THE BIOPSY ALSO IN ABEYANCE. I WOULD AGAIN WISH TO HAVE YOUR CBC WITH PERIPHERAL SMEAR EXAMINATION , A SIMPLE BLOOD TEST.
TRULY,

Above answer was peer-reviewed by : Dr. Dr. Yogesh D

Follow up: Dr. dr. Jawahar Ticku (2 hours later)

Thanks doctor.

Attaching latest complete blood report including latest CBC.

Unusual readings are ESR and globulin.

Follow up: Dr. dr. Jawahar Ticku (13 minutes later)

Also adding few points:

Now I have got 2 lymph nodes again but not more than 2 cm.(cervical)

Dont have fever but sometimes feel fatigue in evening.

I have attached the latest blood check up taken this week.

Globulin and ESR values seems to be bit higher.

Globulin 4.5

ESR 13

Also attaching peripheral smear taken 2 months back.

Follow up: Dr. dr. Jawahar Ticku (5 days later)

One more observation is whenever i take cefixim the size of the nodes are reducing.