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What Causes Severe Chills And Swelling In Right Knee While On Ceftriaxone?
Question: recent dx lyme disease, PICC line inserted, IV antibiotics x 4,
each night, subnormal temperature 96.7 and severe chills.
no sweating, severe swelling right knee
the anti biotic is Ceftriaxone.
Knee was aspirated a two weeks ago.
No infection noted.
Aspirated again last week. Negative now
for Lyme PCR but white count 8,ooo
No elevated temps. Only subnormal temps
with chills in the middle of the night 3x. No sweats.
Knee is not warm to the touch. Pitting edema on calf from socks worn.
No diarrhea. Another aspiration scheduled for later today.
Wonder if the antibiotic is the wrong one.
thanks for your kindness
each night, subnormal temperature 96.7 and severe chills.
no sweating, severe swelling right knee
the anti biotic is Ceftriaxone.
Knee was aspirated a two weeks ago.
No infection noted.
Aspirated again last week. Negative now
for Lyme PCR but white count 8,ooo
No elevated temps. Only subnormal temps
with chills in the middle of the night 3x. No sweats.
Knee is not warm to the touch. Pitting edema on calf from socks worn.
No diarrhea. Another aspiration scheduled for later today.
Wonder if the antibiotic is the wrong one.
thanks for your kindness
Brief Answer:
Need to rule out Septic arthritis knee
Detailed Answer:
Hi there.
Thanks for the query.
Does your knee feel very warm to touch?
Can you mention the antibiotics that your are currently on?
Do you have loose stools ?
You could be having septic arthritis or sepsis.
You need to get your knee aspirated to look for pus and if required, arthrotomy or drainage of pus needs to be done.
Antibiotic therapy directed specifically against the infecting organism is very much needed at this point.
Excessive broad spectrum antibiotics can also cause antibiotic associated diarrhea and related infections such can cause the fever.
Kindly answer my queries for a better understanding and to rule out emergencies like Septic arthritis which may need an urgent intervention.
Thanks and regards.
Regards,
Dr. Aashish Raghu
Need to rule out Septic arthritis knee
Detailed Answer:
Hi there.
Thanks for the query.
Does your knee feel very warm to touch?
Can you mention the antibiotics that your are currently on?
Do you have loose stools ?
You could be having septic arthritis or sepsis.
You need to get your knee aspirated to look for pus and if required, arthrotomy or drainage of pus needs to be done.
Antibiotic therapy directed specifically against the infecting organism is very much needed at this point.
Excessive broad spectrum antibiotics can also cause antibiotic associated diarrhea and related infections such can cause the fever.
Kindly answer my queries for a better understanding and to rule out emergencies like Septic arthritis which may need an urgent intervention.
Thanks and regards.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Need a blood culture
Detailed Answer:
You could get a blood culture done to rule out sepsis. Also an antibiotic sensitivity testing can be done to find out if Ceftriaxone is the right antibiotic or if you need another one.
Need a blood culture
Detailed Answer:
You could get a blood culture done to rule out sepsis. Also an antibiotic sensitivity testing can be done to find out if Ceftriaxone is the right antibiotic or if you need another one.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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