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Suggest Treatment Fr High Fever And Pain On Thighs

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Posted on Thu, 7 May 2015
Question: My husband has fever with significant oain in bith thighs and unable to eat much. He has ITP and Muscle Rheumatic something and on Prednisone for ther latrt. His platelets are 85. What could this be? YYYY@YYYY

doctor
Answered by Dr. Naval Mendiratta (35 minutes later)
Brief Answer:
? Viral Myositis

Detailed Answer:
Good evening

Thank you for writing on health care magic. Well the sort of symptoms are you describing could be due to acute viral illness causing inflammtaion in the muscles which is causing the pain. I would like to ask a few queries to direct you further:

1. Duration of the symptoms?

2. Any accompanying backache?

3. how high is the fever?

4. Does he have difficulty in getting up from the squatting position or the toilet seat?

5. What exactly is the ITP association with?Cause if the disease is due to underlying SLE , then we need to look into the muscles inflammation as well.

Do let me know these queries. Would be happy to guide you further

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Naval Mendiratta (25 minutes later)
He has had fever for about 12 hours 101. The significant leg pain started about 8 PM. Yes he has difficulty getting up from sitting. ITP is low platelets , Last test they were 80. What is SLE?
doctor
Answered by Dr. Naval Mendiratta (27 minutes later)
Brief Answer:
Acute Viral Illness

Detailed Answer:
Good evening

thank you for your reply

Well since the duration is quite acute, there is a possibility the muscle inflammation is due to viral infection causing pain and muscle inflammation. The weakness can be attributed to it as well. Considering he is on prednisolone for ITP, it tends to lower the immunity making him prone to infection.

SLE is an autoimmune condition, also known as lupus. It is a common cause of ITP.

I would recommend you to try some Anti inflammatory medications like aclofenac or naprosyn. Ask him to refrain from doing any heavy exertion. Also get the Levels of Complete Blood count, liver function tests, ESR, CRP and the muscle Enzymes( CPK, LDH and Aldolase).

Any indication for strong medications may not be needed as it just a day old. But we would like to see how much is the inflammation.

hope the information was useful

Do let me know for more queries

Regards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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Suggest Treatment Fr High Fever And Pain On Thighs

Brief Answer: ? Viral Myositis Detailed Answer: Good evening Thank you for writing on health care magic. Well the sort of symptoms are you describing could be due to acute viral illness causing inflammtaion in the muscles which is causing the pain. I would like to ask a few queries to direct you further: 1. Duration of the symptoms? 2. Any accompanying backache? 3. how high is the fever? 4. Does he have difficulty in getting up from the squatting position or the toilet seat? 5. What exactly is the ITP association with?Cause if the disease is due to underlying SLE , then we need to look into the muscles inflammation as well. Do let me know these queries. Would be happy to guide you further Regards Dr Naval