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What Causes Swollen Tonsil, Sweating, Weakness And Fever?

Posted on Mon, 26 May 2014

Question: Hi,

I have been sick since last saturday with the following sumptoms:
1) fever 38 taking tylenol doesnt help
2) left tonsil severly swollen red and white patches
3) extreme sweating
4) weakness

Tests:
Blood tests singificant information:
On saturday i had a WBC Leucocytes amount of 5.2 (range 4.5-11)
Today (thursday) same
Test gave me 4.4
How is it possible my white blood
Cells are decreasing

Also tested ALT reference range 0-30 my result is 47. Doesnt this indicate liver damage?

Had test of EbV antibodies- still waiting for results.
Throat culture negative for strep A
Urine culture came back with mixed
Bacteria

Medication:
Dr originally prescribed pen-rafa. Took it for 3 days- did mothing so was changed to co-azithromycin (6 pill pack)
Tylenol every 4 hours and vitamin b and c

What is going on? Is this mono or sonething else. Why are my wbc numbers decreasinh an my alt increasing.

I am 33 yr old female.

Answered by Dr. Anshul Varshney (21 minutes later)

Brief Answer:
Follicular/Bacterial Tonsillitis or Pharyngitis

Detailed Answer:
Dear Friend.
Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.

This seems to be Follicular/Bacterial Tonsillitis/Pharyngitis

Azithromycin won't help in this

Urine sample can be contaminated.

WBC count can decrease as a result of Viral Infection.

Irrespective of test results, i advise following in my patients:

1. Antibiotic Augmentin 625 mg Thrice a day.
2. Antihistaminics like Levocetrizine 5mg once a day\
3. Warm Saline Gargles
4. Paracetamol on as when required basis for fever.

If you come out to be positive for Mono, add doxycycline as well.

This usually takes 3-5 days after you get on antibiotics.

ALT can raise if you are consuming excessive Paracetamol.

If it gets further high, you would require further investigations
I would advise you to discuss with your doctor for starting you on these medications.
I am sure you will feel the difference with in 24-48 hours.

This is my personal opinion based on details available here. If you still have any query you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (12 minutes later)

So wait if wbc is decreasing and my
Fever is 38 plus comstantly isnt that inficative of viral infection?

I left something out- actually i did have a urine infection a
Couple of
Weeks
Ago
So bacteria in urine is not surprising. Should i continue the azithromycin for this?

What are normal blood and physical symtpoms of mono?

Answered by Dr. Anshul Varshney (14 hours later)

Brief Answer:
detail follows.

Detailed Answer:
Dear Friend.
I would advise you to get a Urine Culture done.

Actually, when we get once source of infection like Tonsillitis, we don't suspect unnecessarily other sources of infection.
But since you had an episode of Urine infection earlier also, i would advise you to get Urine Culture and also Ultrasound Abdomen with KUB.

Azithromycin won't help if you have severe Bacterial/ Follicular Tonsillitis.

Infectious Mononucleosis usually presents with fever, Sore throat, Lymphadenopathy.

This is a self limiting condition, that is why i am not stressing on it.

If you have any further query, please ask me, else close the discussion and rate it.
Stay Healthy.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar