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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Oncology
Satisfied Customers: 54348
Experience:  MBBS MS (Surgery)
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Swollen lymph nodes over a month Low grade temp that spikes

Customer Question

Swollen lymph nodes over a month
Low grade temp that spikes from 37 /38.2
For 17 days
Hot prickly skin in bed
Back and joint pain
Clear bloods two weeks ago
Submitted: 12 days ago.
Category: Oncology
Expert:  Dr. Arun Phophalia replied 12 days ago.

Which lymph nodes are enlarged?

Customer: replied 12 days ago.
5 in neck one in vagina/groin
Expert:  Dr. Arun Phophalia replied 12 days ago.

You need the following investigations to ascertain the cause of your symptoms;

1) Cultures for bacteria, mycobacteria, and fungi (blood, urine, stool, sputum).

2) Serologies for Brucellosis, CMV infection, amebiasis, toxoplasmosis, and chlamydial diseases.

3) Ultrasound of lymph nodes

4) Serum ferritin levels are useful in cases of SLE flare, and adult Still disease.

5) Antinuclear antibody titers, rheumatologic factor, thyroxine level, and ESR,

6) High-resolution CT scan of lung and CT scan of the chest.

7) Ultrasound and CT scan of the abdomen.

8) Technetium bone scan

9) Peripheral blood smear
These will help in the diagnosis and ascertaining the cause of your symptoms.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

I wish your symptoms resolve soon.

Customer: replied 12 days ago.
Does it sound like lymphoma in yiure opinion
Expert:  Dr. Arun Phophalia replied 12 days ago.

Unlikely.

Your symptoms are most likely due to a chronic infection.

Customer: replied 12 days ago.
Of ? What could it be
Expert:  Dr. Arun Phophalia replied 12 days ago.

The body fluid cultures can only tell the organ or system affected by the infection.

The other possibility is an autoimmune disorder which can cause fever, lymph node enlargement, and joints/back pain.