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Suggest Treatment For Frequent Infections Along With Weakness And Exhaustion

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Posted on Fri, 19 Jun 2015
Question: I have for the year 2014 been on over 20 rounds of Antibotics from a lowered Immune System post Inta spinal procedures. I've had less then 3 months (11-2014 to 2-2015) with no infections. They started back up 2/2015. Mostly been positive for Klebsilla Pneumiae (with a current infection in process). I went to the ER yesterday because two different Doctors (Dermotolgist and my Uerologist said I look horrible). The Uerologist's nurse wheel haired me to the ER with a fever yesterday. I have not once in what is now almost 1and 1/2 year of Antibotics and every discipline blames another. Even an ID/Epi MD said it was a Neurology issue, had not 1 set of blood cultures. In the mean time my body is growing weaker, more tired, exhausted, and my employers are becoming really ticked off. I am losing hope. Any insight please.
doctor
Answered by Dr. Eris Ranxha (7 hours later)
Brief Answer:
Blood test evaluation

Detailed Answer:
Hi
Thank you for trusting HCM
I read your query and understand your concern
Long term febrility need to be validated to be treated
Unfortunately antibiotics are the only hope doctors have to treat febrile patients
In my opinion if you were my patient I would recommend to undertake some blood test which will determine the kind of infection, it's severity and the right antibiotic to be used

Peripheral blood test with doctor explanation to better understand the kind of infection is the first test to be done
Inflammatory test such as sediment, fibrinogen and PCR are absolutely needed
Culture and sensitivity test will help to find the right antibiotics which will be helpful to you

Probably you will have to start more than one antiobitic for longer time (probably 2 antibiotics depending from blood test result)
I could be more helpful if you provide me with your current test and examinations done till now
Please feel free to ask further questions or misunderstandings
Wish you all the best and fast recovery
Best regards
Dr Eris Ranxha
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Eris Ranxha (10 hours later)
Thank you so much. I awoke this morning with a now additional non-productive cough. Historically my UA's show negative in any offices/ER etc. my Uerolgist said to convey to others if I have a UA performed away from her to tell that clinic etc. send my UA off for C&S anyway as it always grown out with the exception off the germ free dates above. The antibiotic have been about 7 maybe 8 different ones that have rotated around since start 12/15/2013. All intrspinal procedures where halted (of course) 6/6/2015 when all interventional peiord was halted related to these germs in my body and are now treated medically with oral medication until the germs are gone. Last year mutiple MRI several to lower back, left hip & a 2hour MRI to my left leg because my left thigh something a mass or something is now grown to almost the mid to lateral 2/3 pelvic we do know that it is not cancer & that's it so far on the left thigh, an EGD, colonoscopy (all cleared), IVP, Cystoscope, some other urine measuring test/procedure, mutiple basic labs, no specialty labs. My base line temp is 97.3 my uerologist understands that 99 is a real fever, not others think that. My temp rarely spikes to textbook guidelines. The GU MD understands this. I now (as of this past year) have a new primary MD a concigarge because all of the regular doctors said I'm to sick for me to be a pt form them, a GI, a GU, a Neurologist that I have only seen once who said "Let me think about this. We'll be back with you (that was 11days ago, as of yesterday still no appt date). My UA from 5/28/2015 only out of range was positive Leukocytes color hazy. On CBC Wbc 8.4, H&H 11.8-36.3, NA 140, K 4.2, Glucose 100, Cret 0.76, Carbon 24, CL 105, CA 9.8, BUN 9, Alk Phos 119, Albumin 3.8, Lipase less than 5( stated Low/Low) total cells 100 NA, Seg 57, Mono 1.0, LYMP 35, EOS 3, BAS 4, BASOPHILS 0.3, all these are abnor: RBC MORPH, Platelet Morpy, Platlets Clumped, mucus is positive GRF greater than 70. My last documented B/P in the ER was 187/85, at the Uerolgist office it was in the 150/90's nothing was done in the ER to lower the B/P nor the pain, as stated I received only 1 liter of NS & 4 mg of Zorfan. My temp this morning is 100.2, but according to the primary MD because it's not over 101 I don't need a set of blood cultures, I was pretty upset with her by this point. Uero MD says that it is not normal to be on antibiotics that are almost non stop since 12-15-2013 to now with positive cultures mostly urine. We are trying really hard to keep the K. Pneumonia out of my lungs. I have no history nor current positive work up for Diatetes etc, no medical Diagnosis that would cause this positive germ except the long run of antibiotics that is the only positive reason for this germ. I haven't been on a vent, had a I dwelling urinary catch, no central lines to donate to this. All I know is that I feel horrible, weak, nauseated, head pounding, overall horrible while each doctor shoves it off to another doctor who says it's not their practice. One did say they thought I might have a Connective Tissue Disorder, one said maybe an Auto Immue issue, another Sarcadosis, possible incapsulated Celluittis with no external symptoms except heat- no redness at the site, but all that say is that isn't their field of study. I'm never ever been one to cry wolf but I sure am scared. Thank you for your insight.
doctor
Answered by Dr. Eris Ranxha (32 minutes later)
Brief Answer:
It is probably a systemic versus bacterial infection

Detailed Answer:
Dear XXXXXXX
thank you for coming back again
I read about the examinations you have done till now and symptoms you are suffering
As I told you earlier, some blood test need to be scheduled to better understand the kind and severity of the current infection
Secondly I think that in your case maybe there is something systemic which is causing your symptoms so you need schedule some other test
First ones should be ANA, XXXXXXX and some tumoral markers (like CEA, CA19-9)
Hope my answer will help in your right diagnosing
Please review my answer or feel free to ask for further doubts
Wish you good health
Regards
Dr Eris
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Eris Ranxha

Neurologist

Practicing since :2009

Answered : 686 Questions

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Suggest Treatment For Frequent Infections Along With Weakness And Exhaustion

Brief Answer: Blood test evaluation Detailed Answer: Hi Thank you for trusting HCM I read your query and understand your concern Long term febrility need to be validated to be treated Unfortunately antibiotics are the only hope doctors have to treat febrile patients In my opinion if you were my patient I would recommend to undertake some blood test which will determine the kind of infection, it's severity and the right antibiotic to be used Peripheral blood test with doctor explanation to better understand the kind of infection is the first test to be done Inflammatory test such as sediment, fibrinogen and PCR are absolutely needed Culture and sensitivity test will help to find the right antibiotics which will be helpful to you Probably you will have to start more than one antiobitic for longer time (probably 2 antibiotics depending from blood test result) I could be more helpful if you provide me with your current test and examinations done till now Please feel free to ask further questions or misunderstandings Wish you all the best and fast recovery Best regards Dr Eris Ranxha Neurologist