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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Knees And Ankles?

Hello doctor! I am 22 years old a female. I have a ESR of 40 during my laboratory test. Last two days I had a fever and I feel pain on my knees and ankles, I have experience also sore throat. But, as of today my throat is almost well. But still I have this cough. Can you please tell me what I am supposed to do? and is my condition called?
Mon, 13 Apr 2015
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General & Family Physician,  's  Response
Hi
Thanks for posting your query on HCM.

Suspected Rheumatic fever.

I have gone through the problems in your query, in presence of recent sore throat infection, fever and the joint pains with raised ESR the features are suggestive of inflammation of the joints most probably due to post bacterial infection of the throat which needs to be confirmed.

Inflammation caused by rheumatic fever may last for a few weeks to several months and it may cause long-term complications such as rheumatic heart disease.
Hence, you are advised to visit a physician for the work up for the following investigations followed by the treatment.,

Following additional investigations are recommended:

C reactive protein, CBC, ASO titre, ECG to confirm the diagnosis of Rheumatic fever.

Based on the results the physician, the following medications are may be used to reduce the fever and to eradicate the bacteria.

NSAID pain killers like Aspirin or Naproxen for fever and pain and Penicillins for the bacterial infection.

Hope this answers your query.
Best regards.


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What Causes Pain In Knees And Ankles?

Hi Thanks for posting your query on HCM. Suspected Rheumatic fever. I have gone through the problems in your query, in presence of recent sore throat infection, fever and the joint pains with raised ESR the features are suggestive of inflammation of the joints most probably due to post bacterial infection of the throat which needs to be confirmed. Inflammation caused by rheumatic fever may last for a few weeks to several months and it may cause long-term complications such as rheumatic heart disease. Hence, you are advised to visit a physician for the work up for the following investigations followed by the treatment., Following additional investigations are recommended: C reactive protein, CBC, ASO titre, ECG to confirm the diagnosis of Rheumatic fever. Based on the results the physician, the following medications are may be used to reduce the fever and to eradicate the bacteria. NSAID pain killers like Aspirin or Naproxen for fever and pain and Penicillins for the bacterial infection. Hope this answers your query. Best regards.