Discussions By Condition: I cannot get a diagnosis.

Fever,lowback pain, epigastric pain

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Nzargah
  • February 15, 2011
  • 08:05 AM

Patient presents with persistent fever, low backpain and epigastric pain. patiient denied history of peptic ulcer, howwever had endoscopy that showed nothing. presentation is 5 days of symptom. had ELISA FOR HIV that was negative. abd USS was unremarkable. MP was +ve, widal was insignificant, FBC was within normal limits. Patient received various antimalarial and antibiotics but the fever persist at 38.5 celsius. Epigastric pain and tenderness persisted and also the low bback pain. CXR, lumbosacral and abdominal x-rays were ordered. Only CXR showed right hilar consolidation. Patient admits having pleuritic pain on deep breathing. patient is currently on ceftriaxone, metronidazol and gentamicin. Yet no improvement in symptoms.

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