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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes Below Ear, Recurrent Fever And Hair Loss?

I’ve had swollen lymph nodes at the back of my ear/head for coming up to 3 months, then another at the back of my neck and in my groin for 6 weeks. I’ve had fevers on and off and fatigue constantly for over 2 months. My hair is falling out quite severely. I have no bold patches but it has thinned severely. I get headaches and muscle aches every now and then. I’ve had a lot of blood tests and everything has come back in normal ranges, which is good. Is there something else I should push for? I’m really fed up with it all now and it’s effecting my day to day life with the fatigue.
Fri, 8 Nov 2019
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General Surgeon,  's  Response
Hi,

It appears that you have an infected posterior auricular node on both sides. It may be a possibility that these is a scalp infection that we are overlooking that is draining to these nodes.

It can also be a localised infection of the ear lobe that is causing this infection (following an earring irritation or piercing of the ear lobe).

It is recommended that you see an ENT specialist to examine the site of drainage and help evacuate any collected pus within the ear lobe on both sides.

A local dressing will help in the healing process significantly. This is important since it can lead to permanent deformity if the infection spreads to the ear cartilage.

In addition to that an oral course of antibiotics, anti-inflammatory medications and application of antiseptic ointment on the region will help in treating the infection.

It will also be helpful if the discharge from the earlobe is sent for culture and sensitivity.

In the meanwhile keep the ear lobe dry and avoid putting any earrings for at least 2 weeks. You can expect recovery from this infection in a week or ten days.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Swollen Lymph Nodes Below Ear, Recurrent Fever And Hair Loss?

Hi, It appears that you have an infected posterior auricular node on both sides. It may be a possibility that these is a scalp infection that we are overlooking that is draining to these nodes. It can also be a localised infection of the ear lobe that is causing this infection (following an earring irritation or piercing of the ear lobe). It is recommended that you see an ENT specialist to examine the site of drainage and help evacuate any collected pus within the ear lobe on both sides. A local dressing will help in the healing process significantly. This is important since it can lead to permanent deformity if the infection spreads to the ear cartilage. In addition to that an oral course of antibiotics, anti-inflammatory medications and application of antiseptic ointment on the region will help in treating the infection. It will also be helpful if the discharge from the earlobe is sent for culture and sensitivity. In the meanwhile keep the ear lobe dry and avoid putting any earrings for at least 2 weeks. You can expect recovery from this infection in a week or ten days. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon