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What Causes Body Chill Along With Fever After A Laproscopy?

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Posted on Mon, 2 Mar 2015
Question: Doctor my wife underwent laproscopy for endometriosis and culture report revealed MOTT infection. And she is taking AKT 4 since 20 days as prescribed by the doctor.
Now she is feeling chill, fever and vomiting. She is also feeling weakness in the body and heavy and drowsy head. She has pain on the right side of the neck with little bit swelling. She is finding everything tasteless and bitter. She is also feeling sleepy. Are these symptoms normal while taking AKT4? Does she need to take any other medication with AKT4? Can she take paracetamol or painkiller during AKT4 treatment? Please suggest us what to do as we reside in Dubai, UAE.
doctor
Answered by Dr. Noble Zachariah (7 hours later)
Brief Answer:
Likely to be side effects of AKT4

Detailed Answer:
Hello,
I appreciate your concern for your wife.
It is very likely that your wife is having the side effects of AKT4.
Endometriosis is not caused by MOTT.
The organism cultured could have been due to a contamination.
You can read more about MOTT here
http://en.m.wikipedia.org/wiki/Nontuberculous_mycobacteria
Please see a specialist in Internal Medicine and get her examined. She would also require liver function test.
If the liver function test is abnormal, the medicines should be stopped and she should be re evaluated.
Take care,
Dr Noble Zachariah,
Kuwait
www.drnoblezachariah.com
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (2 days later)
Hello Can i take akt4 before or after lunch or dinner
doctor
Answered by Dr. Noble Zachariah (43 minutes later)
Brief Answer:
Rifampicin before breakfast.

Detailed Answer:
I am glad that she does not have the AKT4 induced hepatitis.
The Rifampicin ( Capsule) in AKT4 has to be taken on an empty stomach and so it is best taken before breakfast.
The other tablets can be taken after food.

Take Care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (13 hours later)
Hello Doctor feeling low whole day after taking akt4
Is it ok if i take these tablets before and after dinner
Rifampicin before dinner and other tablets after dinner and go to sleep
doctor
Answered by Dr. Noble Zachariah (2 hours later)
Brief Answer:
schedule for best results based on your request

Detailed Answer:
Rifampicin has to be taken on empty stomach. So you can take it 3 hrs or more after your lunch.
You should not take dinner for 1 hour after Rifampicin. The other medicines can be taken after food.
I would be interested in knowing who the gynecologist who advised you to take AKT4 and who said it was not necessary.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (1 hour later)
Underwent laproscopy for endo metriosis in XXXXXXX hospital banglore XXXXXXX culture report stated mott infection doctor said medication not required for mott infection.
I live in uae .i have been trying for second baby since 3 yrs my gynaecologist in sharjah suggested me to take akt4 and then try to conceive.
Doctor plz tell how dangerous is Mott . Does it require medication
doctor
Answered by Dr. Noble Zachariah (2 hours later)
Brief Answer:
Link provided to read more

Detailed Answer:
MOTT is found normally on the skin and doesn't cause any significant infection in normal people.
It can however cause infection in people who are treated with certain medicines that decrease the immunity. It is not a cause of endometriosis. In your case it was probably contamination of the culture specimen. This is the reason why your doctor in XXXXXXX who probably had seen other cases with such contamination advised you against treatment. I tend to agree with the doctor.
Which doctor in Sharjah advised you to have AKT4?
You can read more about MOTT at http://en.m.wikipedia.org/wiki/Nontuberculous_mycobacteria
Your neck swelling requires to be investigated.
If it is a lymph node, you require to have FNAC under ultrasound guidance. If that shows that you have TB, then you require to take AKT4 or any other regime of anti tuberculosis treatment.
I shall be happy to answer any further queries
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Causes Body Chill Along With Fever After A Laproscopy?

Brief Answer: Likely to be side effects of AKT4 Detailed Answer: Hello, I appreciate your concern for your wife. It is very likely that your wife is having the side effects of AKT4. Endometriosis is not caused by MOTT. The organism cultured could have been due to a contamination. You can read more about MOTT here http://en.m.wikipedia.org/wiki/Nontuberculous_mycobacteria Please see a specialist in Internal Medicine and get her examined. She would also require liver function test. If the liver function test is abnormal, the medicines should be stopped and she should be re evaluated. Take care, Dr Noble Zachariah, Kuwait www.drnoblezachariah.com