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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Fever, Severe Foot Pain And Breathlessness?

My brother in law is being admitted for the third time in 2 weeks for high fever 40.5, severe pain in his feet, low red blood cells, low white cells and difficulty breathing. He s had a bone marrow test but waiting for the results. The hospitals he s been to have not been able to diagnose him. Any ideas?
Wed, 27 Jun 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

According to history provided he is having fever since 2 week and low WBC count as well. You have mentioned low RBC count as well so I want to know platelet count as well as hemoglobin level to give further comment. I also want to check your peripheral smear blood examination to see whether parasites present or not. Rule of typhoid by widal test. You had undergone bone marrow examination so if any specific pathology present then it will be clear from bone marrow report. So provide your clinical complain in detail along with your reports so that I can guide you further.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes High Fever, Severe Foot Pain And Breathlessness?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to history provided he is having fever since 2 week and low WBC count as well. You have mentioned low RBC count as well so I want to know platelet count as well as hemoglobin level to give further comment. I also want to check your peripheral smear blood examination to see whether parasites present or not. Rule of typhoid by widal test. You had undergone bone marrow examination so if any specific pathology present then it will be clear from bone marrow report. So provide your clinical complain in detail along with your reports so that I can guide you further. Hope I have answered your query. Let me know if I can assist you further.