Question: I went to the ER mid August with a fever of 104 (untreated) and got admitted with fever and high liver enzymes. I had no rash indicative of a tick (or HIV for that matter) and no other symptoms, but the fever would reduce after a dose of tylenol then increase. While fever was down I was normal.. walking around my room and on my laptop. My CBC WBC: 5.1 Neutrophils: 85% Lymphocytes 7% (full blood work below). Liver enzymes extremely high (ALT 310) with the fever when admitted. They tested for mono, typhoid, blood cultures for bacteria, and only found some abnormalities in urine. Doctors seemed stumped for two days. They treated me with general antibiotics and then antibiotics for tick after a ID consult. While in the hospital for 4 days my WBC fluctuated from 3.5 - 5.1 Infectious disease doctor said it was most likely a tick illness (even though no rash) or small chance urinary tract infection that went sepsis At the hospital I tested negative for Babeosis and Lyme (which ID doctor said is common as the tests are not reliable). My fever broke after 3 days (1 day upon starting doxycycline for tick) and within two days of ER visit my WBC was 4.5 Neutrophils 70% Lymphocytes back up to 20%. While in the hospital doctors checked lymph nodes in neck and arm pits all normal. Blood work has ALL been normal since was pulled in August 17, Sept 17, and XXXXXXX 19 I included WBC and lymphocyte count below since August. I did not test positive for lyme disease or babeosis back in August and Infectious Disease doctor looked over my work saw the fever go down with doxycycline and said he was 99% sure it was a tick, got discharged and that was it. Fever has never returned and no other symptoms. In passing a internal medicine resident said possible HIV.... the ID doctor said this blood work was not normal of HIV and I have a tick not to worry. Since then of course I googled wrong thing to do! I feel healthy and other then that 104 fever for a few days have had nothing. I did not engage in "risky" behaviors, but would this blood work below in August and since august (WBC/Lymphocyte) point toward HIV? I wouldn't think so and the ID doctor said he would see other things besides fever when I was there.. just that residents comment made me think. I"m a 34/female and prior to getting admitted to the hospital I had no risky encounters and No sex for 8 months. I just wonder what it really was since I tested negative for tick borne illness and have been fine since just a random 104 fever.

Admitted to Hospital:
Admitted August 2017:
Wbc Count 5.60 K/uL
Rbc Count 5.03 M/uL
Hemoglobin 15.1 G/DL
Hematocrit 42.8 %
Mcv 85.1 FL
Mch 30.0 PG
Mchc 35.2 G/DL
Platelet Count 172 K/uL
Rdw 12.8 %
Mpv 9.2 FL
Neutrophils % 85.5 %
Lyphocyte % 7.0 %
Mono % 7.1 % 0.0 - 11.5 %
Eosinophils % 0.0 %
Basophils 0.4 %

September 17
WBC: 6.0 lymphocytes 20% (1200)

January 18
WBC: 6.3 lymphocytes 29.1% (1,833)