Discussions By Condition: I cannot get a diagnosis.

Fatigue & Exhaustion for 2 years - undergone nearly all tests

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Anonymous
  • June 21, 2009
  • 07:53 AM

I am 33 year male residing in India.

In the month of July ‘07; had high fever of about 103 degrees with severe body chills, which reduced on medication, but was continuous in nature.

In the month of August ‘07; fever & body chills continued, with severe feeling of tiredness and fatigue, was unable to get up from bed on most days, especially in the morning period after waking up. Towards afternoon, used to feel better, especially after a hot shower.

This continued for a while; at some point was diagnosed with mild Typhoid (1:80) and was advised rest for a week.

Though fever and body chills subsided; fatigue, drowsiness persisted and was unable to concentrate for long hours.

As this continued, got admitted in hospital December ‘07; wherein was diagnosed with relapse of typhoid and leptospirosis and given treatment accordingly.

I was about 60% normal for the last few months, but again from last one month - i have similar symptoms -- especially the fatigue and exhaustion part.

General Complaints:

Fatigue or tiredness, all day, in morning, especially
Feeling feverish (body temperature shows normal)
Body Chills, occasionally
Bowel movements alternates between normal and pellet type
Stomach feels bloated and gaseous.
General body pain (especially shoulders, shin / calves and feet)
Had lost weight upto 6 kgs but in the last few months have added about 8 kgs

Other Info:

Hunger is there, eat about 4-5 small meals in a day
Feel thirsty, drink about 1-2 litres of water
Stools, been erratic, some occasions have to go 2-3 times in a day, especially on days when I feel the tiredness and some days normal and fine
Urination normal
Sleep normal; about 8-9 hours on a daily basis, but on most mornings, wake up still feeling tired, drained out and slanty eyes.

Will appreciate if someone can help!

Summary of Results

10th May, '08

Mantoux showed positive : 27 x 22mm
Anti TB IGM : 0.93 units
Anti TB IGG : 225 units
Anti TB IGA : 158 units
Heamoglobin: 12.5 gm/dl
WBC: 8400 cells/cm
ESR (1/2 hr) : 3 mm
ESR (1 hr) : 7mm

3rd June, '08

WBC Count : 4,640 /c.mm
Heamoglobin : 14.5 gm

ANA (Serum/IF Method) : 1:100 Positive
ANTI DS DNA (Serum/IF Method) : Negative
ANTI CCP (Serum/Elisa) : 0.3
Free T4 (Serum/Chemiluminescence) : 1.14 ng/dl
T S H (Serum/Chemiluminescence) : 3.41 ulU/ml
Random Blood Sugar - 78 mg/dl
LDH (Serum / Pyruvate to Lactase SCE) - 296 U/L
Real Time PCR - Mycobacterium TB - Negative
RH Factor - Less than 9.5 IU/ml
ASO (Serum/Nephelometry) - 57.0
CRT - Less than 3.1
Liver Function Test - Normal
Urine & Urine Culture - Normal
Stool & Stool Culture - Normal

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