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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever,sore Throat And Myalgia

36 yo male with fevers, sore throat with white plaques, lymph nodes in axilla + groin. Diffuse myalgias and arthralgias. CT abdomen shows retroperitoneal adenopathy. ESR 98. WBC 5,000 (70% PMNs). HIV screen negative. Sodium 125. Tot bili 8.8, Albumin 2.9.
Mon, 17 Nov 2014
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Internal Medicine Specialist,  's  Response
HI

Thanks for posting your query.

It could be due to viral infections likes Infectious Mononucleosis or due to fungal infection or due to chronic bacterial infections like Tuberculosis.

I advise you to get certain tests like Throat swab culture sensitivity ( Aerobic and Fungal ) , Monteaux test , blood culture sensitivity , IgM Brucella Antibodies , IgM Leptospira Antibodies and Mono test.

Also let me know since how long you are having these symptoms.

I advise you to be empirically started on Doxycycline antibiotic till you get the reports. Ask your doctor for prescription.

Kindly revert back with reports.

Regards/
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Suggest Treatment For Fever,sore Throat And Myalgia

HI Thanks for posting your query. It could be due to viral infections likes Infectious Mononucleosis or due to fungal infection or due to chronic bacterial infections like Tuberculosis. I advise you to get certain tests like Throat swab culture sensitivity ( Aerobic and Fungal ) , Monteaux test , blood culture sensitivity , IgM Brucella Antibodies , IgM Leptospira Antibodies and Mono test. Also let me know since how long you are having these symptoms. I advise you to be empirically started on Doxycycline antibiotic till you get the reports. Ask your doctor for prescription. Kindly revert back with reports. Regards/