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Tonsillitis, black spots on insides of lips, elbow pain. On penicilin VK, claryrithromycin. Negative test for glandular fever. Treatment?

I am 24, 6 , and have had what I can only describe as a bad case of tonsilitus, however i have had this since april 30th and it is now 12th June. I have had 3 different antibiotics including penicilin VK, claryrithromycin and amoxycilin. They have all been ineffective and my doctor doesnt seem to know whats wrong, i was tested for glandular fever but turned up negative. I have now developed black spots on my lower inside lip, and i am constantly exausted i feel achey all over but have experienced pain in my elbows specifically. Quite painful, what could this be? I need answers as it is affecting my everyday life substantially. Thank You
Fri, 6 Jul 2012
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General & Family Physician 's  Response
Thanks for writing in.
I think we should be looking at taking a biopsy from your tonsils. Since you wide spread symptoms, that would be the best way forward. A good first step would be to take a swab from the tonsils and send it for culture and sensitivity. We should be looking to rule out a peritonsillar abscess ( which would not respond to antibiotics) or a malignancy.
hope this helps
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