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Suggest Treatment For Fever And Swollen Lymph Node
Question: Hi,
I have a swollen cervical Lymph Node ( left side ) for last one month. I am getting low grade fever at night. Additionally I experience Joint and feet pain sometimes. I completed two antibiotic courses as per doctor advice ( Zithrocin 500, Augmentin duo 625 ) but it had no effect. My ESR (95), TC counts are high. All the reports are attached herewith. The problem is still not diagnosed. Please tell me what disease I May have ?.
I have a swollen cervical Lymph Node ( left side ) for last one month. I am getting low grade fever at night. Additionally I experience Joint and feet pain sometimes. I completed two antibiotic courses as per doctor advice ( Zithrocin 500, Augmentin duo 625 ) but it had no effect. My ESR (95), TC counts are high. All the reports are attached herewith. The problem is still not diagnosed. Please tell me what disease I May have ?.
Brief Answer:
Clinical features and lab results suggestive of rheumatoid arthritis
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
After going through all your reports, the abnormality is that of high total leukocyte count with normal differential count, low hemoglobin and high ESR.
The aspiration cytology of the cervical lymph nodes shows reactive lymphoid hyperplasia, which is an inflammatory condition.
All biochemistry parameters are also normal.
These laboratory findings coupled with joint and feet pain are pointing towards an inflammatory condition which is affecting the joint and causing secondary hematological effects.
I am of the opinion that rheumatoid arthritis should be ruled out.
Rheumatoid arthritis is an autoimmune disorder affecting joints. more common in young females.
I suggest you to get following investigations:
Rheumatoid factor and anti nuclear antigen assay after discussing with your referring doctor.
Thanks and take care
Dr Shailja Puri
Clinical features and lab results suggestive of rheumatoid arthritis
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
After going through all your reports, the abnormality is that of high total leukocyte count with normal differential count, low hemoglobin and high ESR.
The aspiration cytology of the cervical lymph nodes shows reactive lymphoid hyperplasia, which is an inflammatory condition.
All biochemistry parameters are also normal.
These laboratory findings coupled with joint and feet pain are pointing towards an inflammatory condition which is affecting the joint and causing secondary hematological effects.
I am of the opinion that rheumatoid arthritis should be ruled out.
Rheumatoid arthritis is an autoimmune disorder affecting joints. more common in young females.
I suggest you to get following investigations:
Rheumatoid factor and anti nuclear antigen assay after discussing with your referring doctor.
Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by :
Dr. Prasad
Hi,
I have already consulted two experienced docs.They all suspected TB.Doc adviced me to go for repeat FNAC which is also not suggestive. They advised for excision biopsy. What should be tge correct step at the moment ?
I have already consulted two experienced docs.They all suspected TB.Doc adviced me to go for repeat FNAC which is also not suggestive. They advised for excision biopsy. What should be tge correct step at the moment ?
Brief Answer:
Investigations not suggestive of tuberculosis, excision biopsy may be done.
Detailed Answer:
Hello and welcome again,
The FNAC report is not suggestive of tuberculosis.
Mantoux test is also negative, thus possibility of tuberculosis is less.
However, you may go for excision biopsy to histopathological examination which is more definitive.
Thanks and take care
Dr Shailja Puri
Investigations not suggestive of tuberculosis, excision biopsy may be done.
Detailed Answer:
Hello and welcome again,
The FNAC report is not suggestive of tuberculosis.
Mantoux test is also negative, thus possibility of tuberculosis is less.
However, you may go for excision biopsy to histopathological examination which is more definitive.
Thanks and take care
Dr Shailja Puri
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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