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My son (21) reported to the er last night with an elevated

temp about 100, gen fatigue...
My son (21) reported to the er last night with an elevated temp about 100, gen fatigue, elevated liver enzymes going to go up , enlarged spleen fever coming and going. Mono test neg, lymphocytes elevated, lyme disease (but probably old, don't know if current waiting to hear on Monday. He was negon a hiv test 3 months ago, test ed for Hep, The doc did an HIV test-- Does this sound like ARS
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Answered in 1 minute by:
8/20/2017
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,396
Experience: MBBS
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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Sorry to hear that.

For how long now he has been having fever?

Any weight loss, rash , yellowing of sclera?

Any recent history of travel ?

Has he been tested for hepatitis ?

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Customer reply replied 3 months ago
10 daysNo wt loss, no rash, no no yellowingNo recent travelthey tested him for hep

Alright well it sounds viral esp with high lymphocyte count. Can you share the reports of blood work he has had?

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Customer reply replied 3 months ago
mono neg, positive for tick borne illness but they don't know if its current, because he is over 18 we don't have access to all the tests

Alright i understand . Well obviously it needs further testing. HIV in onset can present with symptoms that are non specific but common to a viral illness such as fever, fatigue,body aches, sore throat, rash etc. Liver and splenic enlargement may also be found.

Does he have any other symptoms like pain abdomen , bowel or urine issues?

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Customer reply replied 3 months ago
no rash, no sore throatfever never got higher than 100.8

His symptoms are non specific with no real apparent focus of infection. Does he have a cough too ? How bad is his liver ? Any idea

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Are you there?

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Customer reply replied 3 months ago
The liver they said was acute hepatitis and the liver enzymes are high and rising no cough

Alright then its acute viral hepatitis and its the probable cause of his present illness. It will take about 4-6 weeks to resolve appreciably . The enzymes should start dropping by 3rd week.

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Customer reply replied 3 months ago
they still tested him for HIV as well-is that a concern based on the symptoms

No i dont think so but its pretty much a routine thing with symptoms being pretty non specific viral so he wants to make sure ,covering all corners.

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Wish him a quick recovery.

Please do reward credit for the consult by leaving a positive rating if you are satisfied.

Thanks in advance.

Kind regards.

Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,396
Experience: MBBS
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