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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Sore Throat With Swelling, Ear Discomfort And Scalp Tenderness?

Hi doctors, Last Monday night I broke into a pretty good fever over night, suffering broken sleep etc. Tuesday I was wiped out, but the fever appeared to have broken largely - but started to get a sore throat. Initially I figured this was Just a sore throat but since then it s got progressively worse - to the point where the right hand side of my throat is now so swollen it s nearly reaching the epiglottis (sp?). I m finding it incredibly tough to swallow anything at all, even water and have only eaten twice since Tuesday night. I saw my Dr on Friday afternoon, who gave no real diagnosis, but stated that the swelling was impressive and that it looked like antibiotics would be worth a go - prescribing a 7 day course of penicillin. I m now approx half way through the course, but whilst some of the pain has abated, the swelling continues to stay...it has now taken a small distinct lump form that vaguely resembles a wart. Other side effects are an almost barotrauma like pain below my back teeth, some ear discomfort and my scalp feels as though I ve cut it - that kind of very tender feeling (there s no damage up there!) I don t *think* I have a fever any more (temp is consistent around 37.4 in the day) but I haven t slept well since last Monday and have consistently had night sweats. Any thoughts on next steps? Is it possible that the penicillin simply hasn t had time to work it s magic, or does the fact it hasn t impacted three days into a 7 day regime indicate it s not going to? many thanks Rob
posted on Thu, 13 Mar 2014
Twitter Thu, 27 Aug 2020 Answered on
Twitter Mon, 31 Aug 2020 Last reviewed on
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General Surgeon 's  Response
Hi,

Noted your detailed history about fever, swelling right side of neck, pain in ear and scalp, course of Penicillin. This looks to be a serious problem needing detailed clinical evaluation and investigations:
* Tests of blood for white cell count, culture and sensitivity
* Other tests of blood as needed
* Ultrasound or CT scan of the neck to know the exact cause of swelling, whether lymph node or something like cellulitis or abscess in close space

Proper additional of additional antibiotic. Anti-inflammatory and other supportive and symptomatic treatment. I would always advise admission to the hospital in such cases.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Painful Sore Throat With Swelling, Ear Discomfort And Scalp Tenderness?

Hi, Noted your detailed history about fever, swelling right side of neck, pain in ear and scalp, course of Penicillin. This looks to be a serious problem needing detailed clinical evaluation and investigations: * Tests of blood for white cell count, culture and sensitivity * Other tests of blood as needed * Ultrasound or CT scan of the neck to know the exact cause of swelling, whether lymph node or something like cellulitis or abscess in close space Proper additional of additional antibiotic. Anti-inflammatory and other supportive and symptomatic treatment. I would always advise admission to the hospital in such cases. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon