Question: I recently saw my doctor and requested a full physical because in had mono in 2011 and i am now having recurrent synptoms of swollen glands sore throat and sweats he referred me to infectous disease. Even though my ebv igg and igm are positive he does not feel that it is mono but offers me no alternative because he said my white cell count and hepatic function is normal. I realize that there is no treatment for mono but i recently had such pain in my throat when swallowing and discomfort when touching my chin to chest in my thyroid area. I obtained endocrinologist consult and ultrasound showed 9 nodules. Biopsy of 2 larger nodules negative. Negative antibodies so hashimotos ruled out. I now have thyroiditis of unknown origin. I also have abnormal cortisol levels so i am seeking a adrenal and pituatory work up. I maintain that i could be still positive for mono because i am also having adrenal problems and unable to fight off mono which is causing me to have thyroiditis as well. Could this be the case or do you think something else. Infectios diz doctor just seemed confused and offered no alternative and i am truly sick.

Hi. Thanks. what is paracetamol? I had some labwork as you suggested (cmv) and i am awaiting results. In the mean time i saw an infectios disease doctor who i am sure thought i was nuts because i had multiple complaints and the day i was in his office i was having severe right neck and shoulder pain and i was sweating profusely and clammy. He was concerned about my recent hx of mono but felt it was very rare to have positive I spent very little time with this doc but he said sometimes sarcoid can cause blockage of parotid and submandibular gland? igm and symptoms for going on two years now. My ear nose and throat doc had ordered a cat scan for swelling on the left side one month prior and now i have swelling on right side of jaw with the current thyroiditis. So inf disease added ct of throat and chest with contrast. I was oerplexed by the results and hoping you can shead some light as i dont have a follow up visit for several months. I will try to attach reading of all. In addition to a tiny 2 mm nodule in the right mid lobe lung showed sutures or clips seen in right breast posteriorly. I had a breast reduction two years ago and he tapered under my right armpit to back. and these should have been removed or dissolved by now. This could explain the shoulder and neck pain. Everything abnormal seemed to be limited to the right side. The ct of the neck showed no evidence of cervical adenopathyor mass to account z4 perceived left sub mandibular gland . I had had a l jaw fx 2 years prior? This ct did show obliteration of right aspect of the vallecula ? Secondary to hypertrophy of r linquil tonsil. Then it says please see other comments and the rad dept would not give me these. Based onthis limited data what are your thoughts. It certainly would explain pain in right shoulder and itching . Sweats right neck and ear pain if this was an infection from retained surgery staples . What would you say and who should i follow up with first and with what testing.

My infectious disease doctor suspected sarcoid but i am questioning it. The same inf disease doctor refused to order any labs and added the ct of chest only because i was getting neck done. I already had my I went back to primary nurse practitioner and she agreed to order cmV. The cmv you suggested was positive for both igg and igm. I have sent you these labs as well as the ct & ultrasound results. I have had my tonsills but not adnoids in childhood. I am curious why someone my age 53 ... Would have residual thymic tissue. As for the retained sutures i am concerned that there may be a an autimmune response to a foreign body. When i was thirty years old i lived in connecticut and worked at XXXXXXX university. I was running a lot marathons and started to get extreme joint pain. I was sent to a rheumatologist who ruled out a typical RA and found to have mixed connective tissue and was assymptomatic for years. The only thing that came up positive Back then was hep c. So i went to specialist at XXXXXXX and he did the more definative proein marjer pcv and it came cack negative up to my last test three years ago. ?

here is the 2 part ct report. One is for neck the other for the lung. I also enclosed the ultrasound of abdomen. I meant to say i have had my tonsils out but not adenoids in previous question but ipad sent before i could edit. I wish i could start the vancyclovir but primary refused. My primary sent me to infectous disease. I think a virus would explain why i am always really hot and then minutes later cold and clammy... Simplly spike a temp and my fever breaks. That has happened at least twice a day for past few months. My husband is really wortied about me. I am seeing a doctor of osteopathic for a disc injury once a week and she has mentioned on several occasionshow cook and clammy i feel. She now requested i get clearance from my primary before she treats me to protect herself and the physical therapists in her office from getting sick if what i have is contagios. After some coercion on my part my primary sent me to infectous disease. I was soaking wet again when the student doctor with him examined me. The doc was busy in the other room. In had lowgrade temp of 99.8 but i am hypo thyroid so my temp never goes over 99.00. Two days after my ct and cmv test resulted i made another appointment to follow up with inf disease. I pointed out the linguil tonsil on right that would account for some of my right neck swelling and pain ( rad tech wrote down left) as well as my temp. I also told him about my husbands year long bout of bells palsy and skin rash that was successfully treated with vancyclovir and doxycline. He just said "how bad for him". And told me although my igm is positine it is low positive and there is no need to be concerned. As for question of hep c he stated that abot 10% cases spontaneously clear the virus but always have the antbodies for hep c. Since the hcv rna (pcr) had been negative on at least one occasion he said there is no need for further testing. No elevation of whie cells to suggest bacterial. I am getting so exhausted and would love to just rest instead running to appointments only to be not treated. I want to one day return to work but right now i am too sick. All of the doctors i am seeing are in the same network so in order to get another opinion i will have to drive a couple hours to philadelphia and repeat ct because they will not accept the christianna radiologist report and will require the discs. i obtained discs but they are encrypted for christianna only. I made appt with ENT but it is not til december. I am worried i will keep getting sicker in the meantime. If i can hold out until december my plan is to request an mri and then maybe the right neck would be clearer and justify a vancyclivor prescrption? What is my best course of action in the meantime. I started to vomit sunday so went to er and was given zofran by the nurse in triage. Had a temp. Some traumas came in and i was not seen for 5 hours so i left. I have insurance but i getting too sick to run around to appointments so i need to conserve energy and get some advice from you about possible options.I sent attachments . There are duplicates because a couple are difficult to read. thanks for all your help.

Okay i get it. I am getting stone walled. I can get that anywhere for free since most doctors sell out to pharmaceutical and insurance companies and go to great lengths to not diagnose and ultimately not treat ( unless its a pill to treat symptoms and another pill to treat side effects of the first pill while never diagnosing the underlying problem) As for the verbose descriptions .... I am just pointing out my symptoms because this is part of the clinical pix and there are multisystem ? Or complex diagnostic results which likely rely on a clinical pix to differentiate what is imp vs what is not. I am As for the zip file.... Your system does not have this option. Ive tried.