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How Can Fever Of Unknown Origin And Swelling Of Lymph Node Be Treated?
my son suffers from periodic episodes of a very haigh fever that always lasts 5 days. The common denominator evreytime he has a fever is the swollen of the right lymph node and a high sedimentation in the blood work. He has been hospitalized three 4 times and all kinds of tests and cat scans,including the Gallium scan ,have been done without any diagnosis. So far thiis is what is known a fever of unknown origin. The fever is really abrupt, very high,(104.9) persistent and consistent, if he is not hydrated intravenously, he could easily get dehydrated and have other complications. When the episode is over it takes one to two days for him to fully recover. The only thing that was discovered last time he was hospitalized was that he had a latent TB and he has been taking the medication for two months now. His last relapse was last Monday, Finally the fever broke this late afternoon.
Mon, 2 Dec 2013
there are very long list for PUO i.e pyrexia of unknown origin and your son was diagnosed of latent tuberculosis and on treatment for 2 months. kindly continue the treatment for 6months to one year. wat you can do is
first- take senior physcian expert in the infectious diesease opinion
second - abdominal laporatomy - but this is less common now a days becoz of nnewer technique
third- to observe on 1 or 2 months and then again taking proper history and physical examination proceed with further investigations to rediagnose.
at last- PUO for one year or more you can think of infections like osteomyelitis , malaria, trpanosomiasis and whipple diesease.neoplasms like - lymphoma, adenocarcinoma of colon. connective tissue disorder like arteritis, temporal arteritis, poly arteritis, takayasu erythema multiforme.miscellaneous like hyperlipedemia, fabry diesease, periodic fever, thermoreulatory disorder.cyclic neutropenia. at last factious illness.
i feel your doctor is in third stage of following your son , so kindly consult him again to re- evaluate with proper history and physical examinations.
thank you
first- take senior physcian expert in the infectious diesease opinion
second - abdominal laporatomy - but this is less common now a days becoz of nnewer technique
third- to observe on 1 or 2 months and then again taking proper history and physical examination proceed with further investigations to rediagnose.
at last- PUO for one year or more you can think of infections like osteomyelitis , malaria, trpanosomiasis and whipple diesease.neoplasms like - lymphoma, adenocarcinoma of colon. connective tissue disorder like arteritis, temporal arteritis, poly arteritis, takayasu erythema multiforme.miscellaneous like hyperlipedemia, fabry diesease, periodic fever, thermoreulatory disorder.cyclic neutropenia. at last factious illness.
i feel your doctor is in third stage of following your son , so kindly consult him again to re- evaluate with proper history and physical examinations.
thank you
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