Hello,
Three weeks ago, I travelled to India, upon arriving in India, I had an extreme fever, and had pain on my lower right side and extreme pain just to the right of my spine on the right side of my back (in the middle chest area). The pain was so severe that I could not inhale more than 10-15% of my lung capacatiy without feeling like someone was hitting a pressure point in my back. I called a doctor and he gave me a anti inflammitory in shot in the bum that took away the pain in the back and left it only on the right side. He also prescribed an antibiotic (cipla) which contains orinidazole IP 500mg and Ofloxacin IP 200mg for 5 days. I had diahrea for a week, and severe night sweats. I also woke up one morning with a bloody nose ( I have never had a bloody nose in my life).
After flying home, I visited a doctor and ahd a chest xray done. They ruled out tuberculosis from the chest xray, and prescribed 500mg of Levofloxacine for 5 days and broncophane cough medicine and something to break apart my phlegm in the chest. The night sweats dissapeared. In week 3, I the night sweats have returned, and the cough will be non existant if I am not speaking or moving around. However at times if I am talking I will have a coughing fit where it sometimes leads to puking. Once the puking happens the airway is clear and I do not puke anymore. The sickness does no happen everyday and appears to only happen when I can not clear the airway. I have also began to notice tiny amounts of blood in my phlegm in the first morning spit, and none afterwards. I have returned to the doctor and he has taken a blood test for Typhoid fever, tuberculosis (although I have been tested for this numerous times in the past few years as I work in a public sector), and 2 other illnesses I had never heard of. The pain in my right side is not as severe as it used to be, but I still notice it if I attempt to take a full breath, it is at the lower right side of the rib cage and slightly below.
1. Diagnosis?
2. What are the chances I could have tuberculosis if I had a clear chest xray a week into the infection?
3. I also live in the middle east and it is sand storm season as this may be prolonging my recovery.
-Thank you,