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    What causes stiff neck, fatigue and fever?

Posted on Wed, 5 Jul 2017 in Medicines and Side Effects
Question: Husband has had fever of 101. Comes and goes. Had it for 6 days, on and off fevers, joint pain, stiff neck, faitigue He had a blood test. All was normal but blood test showed 189 high sugar level. He started amoxicillin last night. This morning fever broke, rash the size of an egg on his neck. What should we do now?
Answered by Dr. Muhammad Sareer Khalil 3 hours later
Brief Answer:
Treat before testing if high level of Lyme suspicion

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description , erythema migrans rash in association with recent tick exposure in an endemic region, should prompt antibiotics treatment of lyme without waiting for serological testing.

For testing EIA (Enzyme Immunossay) or IFA (Immunofluorescence assay) can be applied accordingly. Western blot confirmation test for Lyme can be done if the above tests are positive.

A blood sugar of 189 on a random sample with this HBA1c is considered normal.

Upload an image of the rash , if possible.

Wishing you best of health


Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below


Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions


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