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What Causes Continuous Fever, Swollen Lymph Nodes And Rashes?

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Posted on Mon, 29 Dec 2014
Question: I have continuous fever, swollen lymph nodes, rash; tested for HIV negative. my wife is also bothering same symptoms started 20 days after sex; what would be the cause?
doctor
Answered by Dr. Noble Zachariah (42 minutes later)
Brief Answer:
Please give more information.

Detailed Answer:
Hello XXXXXXX

Welcome to HCM
I understand your concern.
There are several causes of fever with lymph node enlargement.
Please give me more details
What is your temperature in the morning and in the evening?
Is there any sweating at night?
How big are lymph nodes? Where are these nodes situated? Have you done an ultrasound examination of the nodes, if so give me the findings. Have you done any investigation like FNAC?
Have you had a chest Xray and an abdominal ultra sound examination? If so give me the findings.
Where is the rash situated? Is it constantly present?
Please upload photos of the same.
What are the tests done for you and let me have the results.
Just because it started 20 days after unprotected sex, it does not have to be related to the same.
How is your appetite? Have you any recorded loss of weight, if so how many kilos over what period?
Please let me have the answers and we can work through your problem

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (19 hours later)
1.What is your temperature in the morning and in the evening?
Answer: early morning i and wife feel so feverish we feel like 100+ but when check with thermometer its has only 97.9-98.4
Evening, anywhere between 98.4-99.3
2.Is there any sweating at night?
Answer: there was no sweats but we have chills in mid nights, and very early morning times 4 am.
3.How big are lymph nodes? Where are these nodes situated? Have you done an ultrasound examination of the nodes, if so give me the findings. Have you done any investigation like FNAC?
answer: My lymph nodes were generalized setup started in march2014 and still persisting, which all these symptoms started risky sexual encounter in december2013 with unknown status girl. I went to ID doctor, said lymph nodes not big enough and we cant do biopsy and just monitor those.
4. Have you had a chest Xray and an abdominal ultra sound examination? If so give me the findings.
answer: yes i did multiple times, nothing abnormal.
5. Where is the rash situated? Is it constantly present?
answer: rash has setup started in may2014 at areas upper chest, back of chest, shoulder where i feel like i lost muscle
6.How is your appetite? Have you any recorded loss of weight, if so how many kilos over what period?
Answer: yes we lost appetite, no loss of weight found.


hello i am stating breif history how my life has changed..
I have to start with my sex history; i am male, october 2013 I went to my home place in far away from my work place vacation for 20 days. I have unprotected vaginal sex for 3 days with my fiance and a week after i went to my village i did 1 day unprotected sex with a other girl in village,where my head of penis has cut due to rough sex, I forgot that incident and back mt home next day sex with my fience with condom but condom has teared.
dec-2013, I finished my vacation i came back to work and i started think about sex everyday i have met a girl internet and went to her place for 1 day there i have engaged in unrotected oral and protected vaginal sex; After comeback from that incident after 2 days my head of penis have started sore, After9 days after recent exposure i have slight fever, mild pain in testicles, complete dry tongue i thought something i have got from he lady and rushed to urologist where he did complete STD panel including hiv ab, eveything showed up negative. in first after exposure fever(98.4-99.3 f), burning hands and feet, chills, white tongue, excessive gas, muscle pains, mild liver pain, muscle twitching, hand and leg feet buruning, i can say almost all typical HIV symptoms has been persisted for 3 months, I rush to ID doctor she has tested for HIV PCR RNA quant (not detected, 5 weeeks), hiv ab negative 8 week, generalized lymphnodes has been started after 3 months after exposure which still(i m in 9 month now) persisting continious low grade fever (97.9-99.2f), thrush(oral hairy l) muscle wasting (buttocks, upper chest, hands, legs), shingles around collar bone. I can say all typical symptoms of HIV are persisting still i m in at 9 months;
In this 9 months of i have been to so many hiv and std tests all came back negative
HIV PCR RNA Quant 5,15,42 weeks not detected (low 20 copies/ml)
HIV ab 2,8,15,28,32,40 weeks negative
all std include hep b,c negative,
ANA, TB blood test negative.
TB skin test positive 10mm, chest x ray normal
CBC with differential normal
CMV IGG psotive, IGM negative
EBV VCA IGG postive, EBNA IGG postive, IGM negative

Can you please help me i have enagaged sex with 3 different partners(2 known hiv negative
(fiance, friend), 1 unknown hiv status) all this happened in 2 months duration and my body low grade fever hurting a lot, muscle lost from all over body, lymph nodes everywhere, on off sore throat, dry mouth..etc
doctor
Answered by Dr. Noble Zachariah (20 minutes later)
Brief Answer:
No evidence of infection.

Detailed Answer:
You do not have fever, only feel feverish. There is a diurnal variation of temperature of 1 degree. This is normal.
You are afraid of HIV and guilty of the unprotected sexual encounter.
There is no evidence that you have any illness either objectively when examined by doctors or through tests.
I think you should put that sexual encounter out of your mind and get along with your life.
Do not do too many searches on the internet. You will imagine that you have all the horrible things.
If you are not able to get the things out of your mind, there is psychotherapy / medicines to help you. A psychiatrist will be able to help you.
If you have any queries, you are welcome to get back to me.
Wish you good health.

Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (3 hours later)
If you think that i am having mental, then my wife has same symptoms why she has been complaining the same?? why she has symptoms been started 20 after sex with me and its been persisting.we know something going on in our bodies. is HIV ruled out??
doctor
Answered by Dr. Noble Zachariah (13 minutes later)
Brief Answer:
There is no evidence of HIV

Detailed Answer:
I am not calling you mental but when your thoughts and beliefs are so intensily focused on something, the mind and body play tricks on you. For example you feel your temperature is 100 degrees but when you check it is normal. The thermometer shows the reality which is different from your belief. You have transferred this anxiety and belief to your wife also. Her temperature is also normal when you checked.
So have positive belief that you are alright and soon your symptoms would disappear.

I am interested in knowing your progress.

Wish you both good health.
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
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Causes Continuous Fever, Swollen Lymph Nodes And Rashes?

Brief Answer: Please give more information. Detailed Answer: Hello XXXXXXX Welcome to HCM I understand your concern. There are several causes of fever with lymph node enlargement. Please give me more details What is your temperature in the morning and in the evening? Is there any sweating at night? How big are lymph nodes? Where are these nodes situated? Have you done an ultrasound examination of the nodes, if so give me the findings. Have you done any investigation like FNAC? Have you had a chest Xray and an abdominal ultra sound examination? If so give me the findings. Where is the rash situated? Is it constantly present? Please upload photos of the same. What are the tests done for you and let me have the results. Just because it started 20 days after unprotected sex, it does not have to be related to the same. How is your appetite? Have you any recorded loss of weight, if so how many kilos over what period? Please let me have the answers and we can work through your problem