Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

177 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Feeling lightheaded, sore throat, fever, weakness, joint pain and throat congestion. What's wrong?

Answered by
Dr.
Dr. Sujoy Khan

Allergist and Immunologist

Practicing since :1999

Answered : 584 Questions

default
Posted on Mon, 28 Jan 2013 in General Health
Question: About a month ago, I had a sore throat, fever and chills (extremely badly), and was very weak. It passed in a couple of days, but the fatigue lingered. That improved as well, but I am now achy in my joints and have some chest and throat congestion to go with it. I am also a bit worm down as the day goes on. I am concerned about Mono or Lyme Disease which I was treated for about 12 years ago. Is it possible that it came back? It feels similar to that time. I have also experienced lightheadedness and sensitivity to light on and off during this time.
doctor
Answered by Dr. Sujoy Khan 54 minutes later
Hello,
Welcome to Healthcare Magic and thank you for writing to us.

The multiple symptoms of flu-like illness (sore throat, fever, chills) and then fatigue, muscle aches and joint pains sounds like a post-viral syndrome of chronic fatigue type. Lyme disease or lyme borreliosis can persist if inadequately treated at the first instance with development of chronic and severe symptoms.

Polyneuropathy (shooting pains in the legs or tingling in the hands), profound fatigue, depression, fibromyagia are features of chronic (late) disseminated infection. Three levels of testing exist depending on the type of symptoms. (1) ELISA test - as it is sensitive (but controversy exists); (2) Western blot - that detects active disease IgM ; (3) PCR that detects genetic material of the organism. Specimens required are either blood by venipuncture, or CSF from spine.
If IgG tests are negative, then the diagnosis is difficult. High titres of IgG or IgM against borrelia are more in favour of disease.

In conclusion, your symptoms could be a recurrence of Lyme disease especially if there is history of travel to endemic areas, or a post viral fatigue.
Chronic fatigue syndrome needs to be dealt by physicians experienced in CFS, but also when all tests have excluded another cause. Tests such as full blood count, liver function tests, eletrolytes, renal profile, XXXXXXX infectious disease serology, RF, IgG IgA IgM levels (immunoglobulin levels), CMV/HSV/EBV IgG are minimum tests to start excluding known causes.

I hope that helps.
Best Wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sujoy Khan 21 minutes later
I should have mentioned that I live in CT, and work outside as a soccer coach, which probably makes me more susceptible to Lyme. I was treated for about a month of antibiotics after feeling the same way I have been now. It cleared up. But I have had other instances where I felt similar and they usually pass. Wondered if it could be something like Chronic Lyme or if it hadnt been completely eradicated the first time. I am out of town now, but have an appt with my doctor when I return to CT in a couple of days. I suppose it could also be as simple as a flu or virus that hung around and I relapsed after a drastic change in temperature and not enough rest. Thank you for your response.
doctor
Answered by Dr. Sujoy Khan 6 minutes later
Yes, you are absolutely right.
The immune system takes a bit of time in generating antibodies against infectious agents which why tests differ depending of time frame, as well as the symptoms that you get from the particular agent.

CT is probably the highest on the list of susceptible areas.
See: WWW.WWWW.WW Please get the blood test, even though it was negative a few months ago, and hopefully things will turn out different and this will pass.

Best Wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

Recent questions on  Flu

doctor1 MD

Hello, My 2 year old had Hepatitus A & B jab last Thursday and became ill with a chesty cough and flu symptoms in the last 48 hours. She is now showing a temperature of 39.2 and has very watery eyes and is pretty upset / whinging, are these symptoms of the vaccine?

doctor1 MD

Hi I´ve been with a bad infection of throat since 9 days ago, on my 5º day I went to doctor because I knew it wasn´t a flu, I am getting calvepen 666 mg. I still have pain and inflamation in my throat at least I dont have high temperature... but still very worried :( I want to cry because I feel I´m never getting cured and I will die of this as possibly the bacteria is growing stronger . Please I dont know what to do.

doctor1 MD

My 3 year old daughter has a persistent cough which is keeping her awake at night. During the day we have sprayed with a saline nasal spray which seems to be loosening the mucus and allowing it to be discharged through the nose when sneezing. We do have a neublizer at home and Duolin for our 5 year old son. Would it be appropriate to give this to her? If not what can we do to make it easier for her to have a peaceful sleep? We have had her at the Dr twice in the last 2 weeks. First time she had a viral infection and had a course of anti-biotics. Second time she was running a high temperature and the Dr said that she had full blown flu, prescribed rinex and pain medication. Has started vomiting and dirohea since.

doctor1 MD

Hi, My child 4 years old was having high feaver and cough for 5 days ,thught to be viral flu and took medication. In the blood checkup his ESR level found at 100. His temperature is normal now but still coughing occationaly and is complaining of pain under the ribcage. Could it be a symptum of TB?

doctor1 MD

Can an occult infection accelerate PSA levels to a total score of 26? Does a blood and urine test completely rule out an occult infection, or can it still be discovered on a sonogram biopsy? Can a rubber band ligation procedure, or a new...

doctor1 MD

I have genital herpes as well as chronic Epstein Barr. My employer wants me to take a flu shot which I have not done in years. It has been years since I have even had a cold which I believe is because of the viruses already in my system. With...

doctor1 MD

I felt feverish this morning and suddenly my sense of smell got stronger too. Should I worry?