Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Bruises On Shoulder And Arm
Brief Answer:
I would recommend performing some tests:
Detailed Answer:
Hello!
Welcome back again on HCM and thank you for your question.
I carefully reviewed your uploaded photo and would conclude that these skin lesions, coupled with the chronic fatigue and muscular leg pain could be related to an infection like Spirochaete (borreliosis or leptospirosis) or Rickettsia.
I recommend consulting with your attending physician for a careful physical exam and some tests:
- complete blood count
- PCR, sedimentation rate
- CPK (muscular enzymes)
- liver enzymes (ALT, AST, gama GT)
- coagulation tests (to exclude the possibility or coagulation disorder)
- inflammation tests (PCR, sedimentation rate)
Further immunological tests (specific antibodies against an infectious agent)may be needed to detect the possible cause of your symptoms.
Meanwhile, i recommend you to closely monitor your heart rate.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
I would recommend performing some tests:
Detailed Answer:
Hello!
Welcome back again on HCM and thank you for your question.
I carefully reviewed your uploaded photo and would conclude that these skin lesions, coupled with the chronic fatigue and muscular leg pain could be related to an infection like Spirochaete (borreliosis or leptospirosis) or Rickettsia.
I recommend consulting with your attending physician for a careful physical exam and some tests:
- complete blood count
- PCR, sedimentation rate
- CPK (muscular enzymes)
- liver enzymes (ALT, AST, gama GT)
- coagulation tests (to exclude the possibility or coagulation disorder)
- inflammation tests (PCR, sedimentation rate)
Further immunological tests (specific antibodies against an infectious agent)may be needed to detect the possible cause of your symptoms.
Meanwhile, i recommend you to closely monitor your heart rate.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi I just checked my heart rate it was 62 I went to bed early I was really tired and weak I have lost a total of 22lbs since November is that a problem feels llike I can't keep my eyes open I am so exhausted I have pain in my legs up to my thighs is that from the infection how would have I gotten in infection I have been on antibiotics off and on since September for respiratory infections and this morning I have been sweating all morning
Brief Answer:
Inflammatory/infectious disease should be ruled in/out first.
Detailed Answer:
Hello again,
Your actual symptoms (extreme tiredness, profound sweating, musculoskeletal pain, intermittent low grade fever and those relapsing skin lesions) raise strong suspicions of a systemic inflammatory disease.
In such case, even though you have been repeatedly on antibiotics regimen, certain infectious disease like Borreliosis or Rickettsiosis, etc. may persist by staying in latency inside the body cells and then relapsing again, if they are not properly diagnosed and treated for prolonged periods of time with the appropriate combined antimicrobics scheme.
Probably your previous pulmonary infection has been only a relapse of the above infection(s).
That’s why I recommended to perform the above mentioned lab tests.
After such possible infectious agents are excluded, then possible metabolic disorders should be sought as well.
You need to discuss with your attending doctor (internist or infectious disease specialist) on the above mentioned issues.
Kind regards,
Dr. Iliri
Inflammatory/infectious disease should be ruled in/out first.
Detailed Answer:
Hello again,
Your actual symptoms (extreme tiredness, profound sweating, musculoskeletal pain, intermittent low grade fever and those relapsing skin lesions) raise strong suspicions of a systemic inflammatory disease.
In such case, even though you have been repeatedly on antibiotics regimen, certain infectious disease like Borreliosis or Rickettsiosis, etc. may persist by staying in latency inside the body cells and then relapsing again, if they are not properly diagnosed and treated for prolonged periods of time with the appropriate combined antimicrobics scheme.
Probably your previous pulmonary infection has been only a relapse of the above infection(s).
That’s why I recommended to perform the above mentioned lab tests.
After such possible infectious agents are excluded, then possible metabolic disorders should be sought as well.
You need to discuss with your attending doctor (internist or infectious disease specialist) on the above mentioned issues.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
