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DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65266
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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10 weeks ago I came down with the following symptoms.

Customer Question

10 weeks ago I came down with the following symptoms. Malaise, profuse sweating, extreme weakness, rapid heart beat of 100 to 110. Some breathing problems. This all started with an abscess tooth. My G P advise me to go to the E R. They did an EKG, Ex-ray and C T Scan of my lungs, and numerous blood test, and finally a culture on my Sputum. All negative. I have had several antibiotics and a massive dose of Prednisone which I hate and am weening myself off of. My red blood count is a little high at 18.6 and I'm on testosterone therapy. Will you offer some possibilities of what has caused me to go from a very active 68 years old in good shape to a listless blob in ten short weeks?
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.


Of course we can not diagnose you, but an abscess in the tooth can persist despite antibiotics.

Sometimes, even if the tooth is pulled, infection can remain.

I would have this possibility addressed.

The ER is not the place to get a complex diagnosis and you should be working with an internal medicine doctor.

A high red cell count must be interpreted along with hemoglobin.

Elevations can mean:


lung disease

heart disease

kidney tumor

other causes.

These should all be considered.

In addition, a CT of the jaw can be done: any remaining infection needs aspiration for culture.

Resistant infection is possible.

I also suggest an echo cardiogram to look for heart valve infection.

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OK, so that is an initial answer….

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