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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Neck Inspite Of Normal Blood Test And CAT Scan

hello, :) In the past year, I have been plaugued with a constant infection..or so I think. in april I was diagnosed with PID, was deathly ill...was not caused by STD. was on 3 iv antibiotics for a week..5 weeks on oral. In novemer. Lymph node in my neck ( clavicle ) was the size of a tennis ball. In november the pain returned..it always starts in my hip, and makes me unable to walk...again was treated with antibiotics. . Jan 1st of this year, woke up screaming in pain in my hip..my husband took me to emerg...they treated me for the same thing...5 days off of antibiotics I am sick again...lymph node in my neck swollen..my blood work......normal..cat scan..normal..ultra sound to neck..says its a swollen nerve..............I somehow feel...I have lymphoma...but would the swelling go down..and come back again... the dr just keeps feeding me antibiotics..help!!
posted on Sat, 15 Mar 2014
Twitter Fri, 7 Dec 2018 Answered on
Twitter Wed, 12 Dec 2018 Last reviewed on
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Neurologist,  's  Response
Hello,

Your presentation does not seem terribly consistent with that of a chronic infection but rather some type of INFLAMMATORY PROCESS which could be autoimmune in nature.

The constant use of antibiotics is something that I would question unless an actual agent of infection can be demonstrated through blood cultures and ultrasounds which could demonstrate pockets or collections of pus if the swellings you mention just happen to be sites of occult infection that then, get worse in the absence of the antibiotics.

I would recommend being sent to either an INFECTIOUS DISEASE specialist or a HEMATOLOGIST/ONCOLOGIST.

I believe additional diagnostic testing (as opposed to more antibiotics) would be a better approach to elucidate the underlying cause. This, in turn, would more appropriately point to the best plan of care.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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Suggest Treatment For Swollen Neck Inspite Of Normal Blood Test And CAT Scan

Hello, Your presentation does not seem terribly consistent with that of a chronic infection but rather some type of INFLAMMATORY PROCESS which could be autoimmune in nature. The constant use of antibiotics is something that I would question unless an actual agent of infection can be demonstrated through blood cultures and ultrasounds which could demonstrate pockets or collections of pus if the swellings you mention just happen to be sites of occult infection that then, get worse in the absence of the antibiotics. I would recommend being sent to either an INFECTIOUS DISEASE specialist or a HEMATOLOGIST/ONCOLOGIST. I believe additional diagnostic testing (as opposed to more antibiotics) would be a better approach to elucidate the underlying cause. This, in turn, would more appropriately point to the best plan of care. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist