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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Chest Pain,weakness And Fever?

59 year old male. This has been building for several days. Today the following has accumulated, Weakeness, light headed, low grade fever, neck ache, Aching(mild) in some joints( ankles & wrists) probable elevated BP, pulse running 84 to 90, feeling anxious. On Pen VK for dental abcess. Have previous history (2005) probable Myocarditis resulting in stent in left anterior decending artery. Have had an ache(minor and itermittent) on the left chest since then.
posted on Sat, 15 Mar 2014
Twitter Mon, 12 Oct 2015 Answered on
Twitter Tue, 13 Oct 2015 Last reviewed on
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that his symptoms seem to be related to an infection.

His past medical history of myocarditis is really concerning for a possible relapse.

I recommend consulting with his GP for a careful physical exam, a resting ECG and a cardiac ultrasound, a chest x ray study and some blood lab tests:

- complete blood count
- PCR, sedimentation rate (inflammation)
- blood bacterial culture
- blood electrolytes
- kidney and liver function tests.

You should discuss with his doctor on the above possibility and consider the possibility of starting antibiotics.

Hope to have been helpful!

Best regards,

Dr. Iliri
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What Is The Treatment For Chest Pain,weakness And Fever?

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that his symptoms seem to be related to an infection. His past medical history of myocarditis is really concerning for a possible relapse. I recommend consulting with his GP for a careful physical exam, a resting ECG and a cardiac ultrasound, a chest x ray study and some blood lab tests: - complete blood count - PCR, sedimentation rate (inflammation) - blood bacterial culture - blood electrolytes - kidney and liver function tests. You should discuss with his doctor on the above possibility and consider the possibility of starting antibiotics. Hope to have been helpful! Best regards, Dr. Iliri