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What treatment should be done for fever, fatigue, vomiting, headache and sore neck?

Nov 2013
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Practicing since : 1994
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My 22 yr old son started with flu like symptoms for two weeks. Fever, fatigue, vomitting, headache and sore neck. After three trips to hospital, he was given IV fluids (at each visit) for dehydration and antibiotics on the final visit. He did feel better for a couple of days although the headache and sore neck never left. Two and half months later... he still has a headache and sore neck. During this whole time he is only able to be physical active for a day or so and then he is right back in bed with vomiting and fatigue. He is extremely tired all the time. Starting last week he began to see intermittent spots in one eye along with pupil dilation. This vision impairment has in either eye (not at the same time) with no reason.
Posted Sun, 4 Nov 2012 in General Health
Answered by Dr. Sudhir Kumar 13 minutes later
Thank you for contacting Healthcare magic.

As you have described, the total duration of illness is now two and a half months, and there is no significant improvement.

This is mainly because there is no clear cut diagnosis made as yet.

His current symptoms require a neurological examination by a neurologist and further investigations.

We need to exclude central nervous system (CNS) infections, CNS vasculitis, etc. For this, MRI scan of brain would be useful.

In addition, a lumbar puncture (for examining spinal fluid) may be useful to exclude CNS infection.

As of now, there is no need to worry. Whatever be the diagnosis, there are good treatments available.

Hope it helps. Please get back if you have any further queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
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