streptococcus

[antbal]

hi,

10months ago was diagnosed with StrepB. ASO Titre ~1037. Had extreme fatigue,swollen glands, high pain in stomach, mussles, Generilized Itchyness.  after 2 months tonsilles were removed (operated), had dose of penicillin and after month all went back to normal. Now - after 7 months most symptoms are back. especially extreme fatigue and pain in stomach. ASO titre again ~ 1000
Please suggest what tests to make, doctors to visit

regards,
Antonio


This discussion is related to Strep triggered Neuropathy?.

[antbal]

Hi!

Happy New Year!  Thanks for the answer.
I've got many check ups: Kidney, heart, liver, thyroid, stomach, throat,sinuses.  all are good.  just stomach has really minor gastritis. so got controloc prescribed.
additionally did bilirubin test. and it shows above norm:
                          result norm
Bilirubin general (mkmol/l) 31.1 5-21
Bilirubinas direct (mkmol/l) 12.4 <5.3
Bilirubinas indirect (mkmol/l) 18.7 <15.7

but inner organs echoscopy shows all as ok.  so doctors not sure is it is gilbert syndrom or effect of streptococcus.

Now doctors want to prescribe RETARPEN antibiotics.   They think this could kill streptococcus bacteria as such. As focus where could be this bacteria not clear.
Please suggest if this decision to use RETARPEN is good enough.

regards,
Antonio
what

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
In adults high ASO titers has no significance unless there are specific symptoms related to streptococcal infection like sore throat, skin infections, heart symptoms or kidney symptoms. The titer will go down with penicillin for sometime but this treatment is generally not required. I think you should not worry too much about your ASO titers. Get a complete heart and kidney checkup. If everything is fine do not worry.  This is my opinion. There is one thing you must remember that I have not examined you. Nor is it possible to share detailed history on net. It is not the same as talking face to face. Hence do consult rheumatologists for this.
Pain in stomach and fatigue can be due to acidity, reflux, IBS, etc. Extreme fatigue could be due to anemia, diabetes, hypothyroidism, or due to kidney (check this due to ASO titers) or liver problems. Another possibility is sleep disturbances (like sleep apnea, imbalance of rapid eye and non rapid eye movement sleep etc.). You may sleep your customary 7-8 hours and yet feel fatigued. You need sleep studies to rule this out. Other possibilities are chronic fatigue syndrome, depression, low Vit b12, low iron, low calcium, sodium and potassium. Hyperthyroidism too causes increased sweating and tiredness.   Postviral fatigue syndrome is another possibility. Persisting EBV infection or mono can also be the cause. A comprehensive investigation is required keeping all the points in mind. Do discuss this with your doctor and get yourself examined. Take care!