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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blister In Penis That Is Not Healed, Joint Pains, Fever?

hi, i am 27yrs old male,from the 8 months im not feeling well ,before 8 months i felt in mild fever and body,uneasy of breathing i was diagonised as acidity,later in blood test it was widal positive,i taken treatment for typhoid for 20 days,then also i didnt feel good doc said it was post typhoid effect,after 2months again i got fever in the evening again it was widal +ve,this time also i took antibiotic for 10 days done blood culture it was negative,now again am feeling feverish right side hip pain and knee pain,again its widal+ve,1:150,mountax 23mm,chest xray normal,esnophils 14%,esr 9,tested no rat fever,no dengue,no malaria.now my doc prescribed heterozine 3 times a day,doxy 100 once a day for 30days,bcoszm forte 3times a day,and i got a blister in penal befor 8month til now tat skin is not cured ,till now i am virgin ,feeling alot what is problem with me,still im having the joint pains and right hip pain,feeling feverish 99.5 in evening.please help me out..what should i do now
Mon, 9 Nov 2015
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Infectious Diseases Specialist 's  Response
Assuming that you are suffering from typhoid for a considerable amount of time, I'm surprised that the blood culture was negative. Widal alone should not be completely relied for concluding Widal. Also, were these tests done in a NABL or CAP accredited lab? The reports provided by non-accredited mediocre labs cannot be relied upon when ruling out such infectious diseases.
Now coming to the current situation, I suspect you may be suffering from Reactive arthritis (Reiter's syndrome). This is usally characterized by arthritis, urethritis and uveitis, and often, lesions on the skin and mucous membrane. It is associated with sexually transmitted infections and gastrointestinal infections. As you have declared yourself to be a virgin, this syndrome could arise as a post-infection complication of gastrointestinal infections caused by bacterria such as - Campylobacter, Salmonella, Shigella etc. The clinical features of this syndrome - urethritis, arthritis, skin manifeatations etc closely resembles your description of your condition. Please understand that there is no diagnostic test to confirm this condition. I see that your ESR is raised, and you must also be anemic. The only treatment available for this is traetment with NSAID's for symptomatic relief (Paracetamol 500 mg thrice daily), Pan 40 (once daily before breakfast), and Sulfasalazine (Saaz 500 mg twice daily after food) - all for 4 weeks should do the trick for you. Please re-do ESR, and check for CRP and Hb values as well, along with a Urine Culture & Sensitivity test.
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What Causes Blister In Penis That Is Not Healed, Joint Pains, Fever?

Assuming that you are suffering from typhoid for a considerable amount of time, I m surprised that the blood culture was negative. Widal alone should not be completely relied for concluding Widal. Also, were these tests done in a NABL or CAP accredited lab? The reports provided by non-accredited mediocre labs cannot be relied upon when ruling out such infectious diseases. Now coming to the current situation, I suspect you may be suffering from Reactive arthritis (Reiter s syndrome). This is usally characterized by arthritis, urethritis and uveitis, and often, lesions on the skin and mucous membrane. It is associated with sexually transmitted infections and gastrointestinal infections. As you have declared yourself to be a virgin, this syndrome could arise as a post-infection complication of gastrointestinal infections caused by bacterria such as - Campylobacter, Salmonella, Shigella etc. The clinical features of this syndrome - urethritis, arthritis, skin manifeatations etc closely resembles your description of your condition. Please understand that there is no diagnostic test to confirm this condition. I see that your ESR is raised, and you must also be anemic. The only treatment available for this is traetment with NSAID s for symptomatic relief (Paracetamol 500 mg thrice daily), Pan 40 (once daily before breakfast), and Sulfasalazine (Saaz 500 mg twice daily after food) - all for 4 weeks should do the trick for you. Please re-do ESR, and check for CRP and Hb values as well, along with a Urine Culture & Sensitivity test.