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What Causes Fever, Oral Thrush, Swollen Tender Lymph Nodes And Burning Feet?

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Posted on Thu, 7 May 2015
Question: I have multiple Tests everything inculde EBV, CMV, and HIV; All negative. Persisting fever, oral thrush, tinder swollen lymhnodes under armpit, neck, groin, Hot burning sensation in feet. Diarrehia etc. I cant sleep in nights since so much feversh in body.
I went to almost 4-5 different doctors and everybody doing same tests and nothing have been found yet.
I hope you guys atleast help
doctor
Answered by Dr. Suresh Heijebu (2 hours later)
Brief Answer:
Possible Oropharyngeal candidiasis.

Detailed Answer:
Hi Sir,

I understand your query and concern.

As per the symptoms you probably seem to have Oro pharyngeal candidiasis which is directly responsible for the symptoms.

I advise you to get Complete blood picture,Differential count,Nitro-blue tetrazolium test and Immunoglobulin test to rule out any immunological deficiencies(neutrophil abnormality).


Meanwhile I advise you to take Tab.Itraconazole 200 mg thrice daily for 3 days followed by 200 mg once daily for 3 months.

Please consult your doctor with regard to above medication.

Post your further queries if any,

Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (11 hours later)
I did every test you specified above .. And all came normal.

I went to ID specialist they say that it's not fungal infection.

But I am sure that is thrush, every evening or morning it formed to thick white layer if brush in the morning again it form by evening.

I tired go to dr and test for hiv tests and wait for its result. I feeling die.

In first ten months I test for 8 hiv antibody and RNA tests and all came negative..

Then I stopped testing

I don't know where should I go and tested

I m isolated and worried toomuch about my life.
doctor
Answered by Dr. Suresh Heijebu (5 hours later)
Brief Answer:
Neutrophils function studies and Endoscopy will be helpful.

Detailed Answer:
Hi Sir.

This is certainly fungal infection beyond doubts.

Be patient and Stop worrying.

Even deficiency of blood immune cells like Neutrophils can also cause such infections. in presence of negative tests for infectious diseases like HIV,CMV,etc.

Hence for this I advised you to go for NBT ,CBC with differential tests.


After this,you need to go for Endoscopy with biopsy is the major investigation that can confirm the fungal origin.

For this consult an expert Gastroenterologist.

Start Itraconazole in the meanwhile by consulting your doctor.This therapy is important.

Only these tests can guide us further.

Thank you.


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Suresh Heijebu (3 hours later)
But how or where this thrush come from??
Is thrush transferred to me via oral sex??

Or it is because of I have weekend immune system??

Do you know my wife is also experiencing same symptoms like low grade fever, burning hands and feet with lots of heat and swollen lymphnodes but she doesn't have thrush. Her sysmptoms has been started after sex with me.

So do you still think I have fungul infection?? Or do I need to find the actual cause as fever, lymphnodes are persisting and for long time 16 months.
doctor
Answered by Dr. Suresh Heijebu (19 hours later)
Brief Answer:
Endoscopy and biopsy can clear all your doubts

Detailed Answer:
Hi Sir.

I understand your concern.

Yes possibly it could have transferred from oral sex.This is high likely possibility.

Weakened immune system can contribute to it as well.

Hence I asked for Neutrophil function studies.

Your wife has possibly received from you post sex.

Hence I still think its fungal infection.

But sex can transfer any infection be it bacterial,fungal or viral.

In order to find out the cause for fever or enlarged lymph nodes,since 16 months.Its important to get endoscopy and biopsy .

Thank you.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Causes Fever, Oral Thrush, Swollen Tender Lymph Nodes And Burning Feet?

Brief Answer: Possible Oropharyngeal candidiasis. Detailed Answer: Hi Sir, I understand your query and concern. As per the symptoms you probably seem to have Oro pharyngeal candidiasis which is directly responsible for the symptoms. I advise you to get Complete blood picture,Differential count,Nitro-blue tetrazolium test and Immunoglobulin test to rule out any immunological deficiencies(neutrophil abnormality). Meanwhile I advise you to take Tab.Itraconazole 200 mg thrice daily for 3 days followed by 200 mg once daily for 3 months. Please consult your doctor with regard to above medication. Post your further queries if any, Thank you.