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What Causes Fatigue, Joint Pain, Sore Throat, Swollen Lymph Nodes And Fever?

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Posted on Wed, 31 May 2017
Question: A patient presents with fatigue, aching joints, sore throat, feeling "flu like" for a week or so. Pt has swollen lymph nodes and elevated temp. Mono spot test negative. WBC 2.0.... Is this mono?

The patient returned to FNP office the next day with elevated temp, increased pain from sore throat, generalized aching. IGM less than 1.0, IgG 1.2, do you need other labs?
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Answered by Dr. Dr. Monika Dede (2 hours later)
Brief Answer:
Please see the detailed answer below.

Detailed Answer:
Hello! I have been through your question.

Based on these lab data and symptoms, I think that this may be mononucleosis and I think that patient is now on the phase of the conversion of IgG.

I'd suggest doing an abdominal ultrasound as well to see the size of spleen and liver.

I hope my answer helps you.
Feel free to ask me further.

Regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Monika Dede

Infectious Diseases Specialist

Practicing since :2003

Answered : 997 Questions

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What Causes Fatigue, Joint Pain, Sore Throat, Swollen Lymph Nodes And Fever?

Brief Answer: Please see the detailed answer below. Detailed Answer: Hello! I have been through your question. Based on these lab data and symptoms, I think that this may be mononucleosis and I think that patient is now on the phase of the conversion of IgG. I'd suggest doing an abdominal ultrasound as well to see the size of spleen and liver. I hope my answer helps you. Feel free to ask me further. Regards.