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Fever,sore throat with dizziness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi my name is XXXXXXXX and I am a 32yr old male, generally in good health. About 2 months ago now I came down with flu like symptoms that lasted about 3-4 days (fever, sore throat). These got better but then I started to feel really dizzy and had what would best be described as a bad "brain fog" for about 3 weeks. I went to the doctor during this time and they told me that it was probably just the afteraffects of the flu I'd just had, or possibly a slight inner ear infection. After the 3 weeks of dizzines the flue re-appeared with avengance. I had a sever sore throat, was running a fever over 100F and was extremely exhausted. I went back to the doctor and asked for a blood test. About 3 days later I got a call from the doctor saying I had tested positive for mononucleosis and that she needed me to come in to see her. She told me that my liver enzymes were extremely elevated. (AST 196 ALT 522) and that these needed to be watched. She asked me to wait a week and then go for another blood test which i did. I was still feeling pretty terrible, running fevers in the evening although my throat had gotten a bit better. When these results came in we found that they were even higher (AST 222 ALT 612) This lead her to believe that I was suffering from Acute Viral Hepatitis because of the Mono. She also asked me if I'd been to any foreign countries recently and I told her I'd been to Cuba back in December. She said that maybe I should also go and see an ifectious disease specialist. This has me very worried. My docotor doesn't seem to explain things as well as she should. I have read online that mono can cause acute viral hepatits and that with this specific form of hepatitis live enzyme levels cans shoot up substancially for a period of 1-2 months (over ten fold) before returning to normal. Is this a common occurence? Also, does one test positive for mono for the entire duration
User :   of the illness. I found out that although I tested positive for mono during my first blood test for some reason I tested negative on the second one. The only reason I know this was because I requested a copy of my blood tests sent to me after my last doctors appointment in case I wanted a second oppinion. My doctor didn't even mention the negative monospot test to me. Maybe you don't test positive for the full duration of the illness? Any insight you could give to me on my liver enzyme levels and their correlation with mono would be greatly appreciated as I am very worried here. Thanks very much! I should add that this past week since my last doctors appointment I am feeling much better. The evening fevers I was running seem to had subsided and my throat is feeling great. I feel like I am on the mend from the mono but my concern is my high liver enzymes. Thank you.                                                  
Doctor :   Hi
Doctor :   I am
User :   hello
Doctor :   Let me read you query
User :   thank you very much
Doctor :   Ok
User :   hi
Doctor :   Now it is really good that you have started recovering
Doctor :   I am glad on that
Doctor :   and coming to the infectious mono test results
User :   yes I am feeling much better
User :   still tired and not much energy but no fever anymore and my appetite is much better
Doctor :   negative antibody tests
Doctor :   if done properly does rule out Mono
Doctor :   because antibody tests are high in both sensitivity and specificity
User :   yes, but my first blood test i did said I was positive for mono
Doctor :   Was it done for antibodies?
User :   the second blood test i did when my doctor needed to re-check my liver enzyme levels a week later said i was negative for mono
User :   it was the monospot test
Doctor :   Ok
User :   first test positive for mono antibodies, second test which was technically a week and a half later said I was negative
User :   is it possible to not test positive for the full duration of the illness
Doctor :   Monotest shall turn negative once the infection is cleare
Doctor :   now it is important to think of acute viral hepatitis
User :   i was feeling a bit better when i had the second blood test although not completely over it
Doctor :   as this is more of liver related
Doctor :   evident by the tests
User :   yes, does this happen sometimes from mono
Doctor :   Have you got hepatitis virus tests done?
Doctor :   At times of compromised immunity
Doctor :   due to an underlying infection
Doctor :   chances are more
User :   i have been for a lot of blood tests although im not sure what they all are. i am assuming my doctor did these tests
User :   she told me that mono can casue acute viral hepatitis and this is probably what it is
Doctor :   Ok
Doctor :   Mainly it has to be tested for Hepatitis B surface antigen
Doctor :   and also for Hepatitis C antibodies
User :   ok, but can a mono illness cause these types of liver readings in a bad case
Doctor :   Mononucleosis
Doctor :   does cause hepatitis complications
Doctor :   that possibility is present
Doctor :   Your doctor is right on that
Doctor :   but is usually in 5% of the cases
User :   ok so maybe i am one of the 5% cases and have had a really bad case of mono
Doctor :   Possible
User :   and the other tests should rule out any other complications
Doctor :   Right
Doctor :   and you do not have any other symptoms as well
User :   right now not really. the mono symptoms seem to have subsided. i no longer get fever, nausea or sore throat. my appetite seems to be returning. i am feeling much better. i have no jaundice but my urine is fairly yellow in the morning especially
Doctor :   Ok
Doctor :   thats quite positive improvement
Doctor :   Now the next line of action
Doctor :   should be to rule out viral hepatitis
User :   ok, so i should make sure i have been tested for all the viral hepatitis`s
Doctor :   B and C,as I have mentioned previously
User :   if the hepatitis is acute and caused by the mono do levels usually shoot up this highÃ?
Doctor :   Yes, it does
User :   in acute hepatitis caused by mono do levels sometimes shoot up this high
User :   in acute hepatitis cases caused by mononucleosis do levels sometimes shoot up this high for a short period of time
Doctor :   Yes, that happens in acute hepatitis
Doctor :   irrespective of the cause
Doctor :   I hope I am clear
User :   my questions are no longer going through
Doctor :   Sorry?
Doctor :   I could not get you
Doctor :   are you with me?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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