Question: Hi, I am a 25 year old female and I have asthma, allergies, and early rheumatoid arthritis (I do not take any medications for RA at this time). I have a tendency to get sick somewhat easily. I have been sick since the beginning of January with what they first said was bacterial tonsillitis (but not strep). After no improvement from steroids or antibiotics, they suggested a possible relapse of mono, which I had been diagnosed with in July (but ultimately ruled it out). Three months later, I still have large swollen glands in my neck, swollen tonsils, intermittent throat pain, post nasal drip, nausea, fatigue, and regular low grade fevers. Since then, I've seen an oncologist that ran a bit of bloodwork and said I needed to be 'observed' but that I probably actually had an infection. They also performed a CT Scan that indicated enlarged bilateral jugulodigastric lymph nodes measuring up to 2 cm in diameter, small bilateral posterior triangle lymph nodes, numerous thyroid nodules measuring up to 5mm in diameter, and "maxillary sinuses revealing mild nodular mucosal thickening". No conclusions have been made at this point but a biopsy has been considered. The CT scan was evaluated by an infectious disease doctor that, while swabbing my nose for staph due to a staph skin infection in my ears, discovered C. Freundii Complex on my nasal swab (and no staph). She has prescribed Levofloxacin which I began last night. This antibiotic is very hard for me to tolerate so far, and I'm wondering what it means to have this specific bacteria in my nose and if it could in any way be related to the mysterious, undiagnosed sickness I've dealt with since XXXXXXX 6th.

What you are suggesting makes a lot of sense. I am wanting to stick with the Levofloxacin but I've had an allergic reaction with swelling along my jawline and pain. I have since taken Benadryl. I contacted the doctor's office and my doctor is out of the office until Monday and I was advised not to take the antibiotic again. I'm wondering if I may have other options to treat this issue so that I can know what to expect when I talk to my Infectious Disease doctor on Monday.