low grade fevers

[udit_fun]

I am a 25 year old guy and am having the low grade fevers since  feb 2009 i.e. almost  since 16 months.I had suffered from Pluresy(T.B.)  which was detected in july 2007 and underwent a course of anti T.B. drugs for 9 months .i was fine for few monts but in feb 2009 i started getting low rade fevers with a pinching pain in the area were i was havin pluresy.i feel  weakness and tiredness throuout the day  .earlier the fever was restricted to evenin only but nw it sometimes appear in the daytime as well.the range of my fever is from 99.0 to 99.7 F(measured after proper rest).i also feel chills sometime and almost feel irritated , muscle pain and weak throout the day,even a little bit of exertion raises my body temperature.I ave been through  no. of blood and urine tests and x rays and C.T. scans  but of no use.My apetite is fine  and my weight is increasin normally .the doctors say tat i dont ave T.B. because my weight is fine but they are not able to cure me trough teir treatment .I am writing down the results of some of the test

1.CT scan of chest:-Pleural based nodular area in right posterobasal segment with adjacent fibrosis -likely post inflammatory.(i always have a pinching pain somewhere around  this  area .)
2.C/S urine:- shows no growth of   pathogen within 72 hours of incubation.
3.ESR:-18 mm/hr
4.ASO(Anti Streptolysin o)     :-380 IU/ml
5. Titre :-16 mg/L
6.Kosch IgG  :-298.6 EU/ml
7.kosch gM:-0.84
8.Eosinophil:-11.0
9.screening for parasites MP:-not detected by QBC method
10. widal test :-negative
11. ALT(SGPT)  :-23,4 IU/L

PLEASE HELP (  i am really going through a tough time due to this fever)
          
Thank u Udit

[udit_fun]

i am eagerly waiting for ur reply.

[udit_fun]

thank u so much for ur reply ,but actually i am confused as u have listed the names of so many deseases .I would like to further rule out some of the deseases like HIV and STD as i never had sexual intercourse nor do i i ever had any blood transfusion and all injections(syringes) tht i hd taken were new .also i hd been thru urine tests so (as mentioned above) so UTI is also negated .i also sufffered from jaundice few years bck ,i also mentioned abt a constant pinching pain in the area i had pluresy,i cant do much physical exercise as i get tired very easily.can this be due to any allergy,i also took multivitamins for some time before this problem but cant remember exactly wen i stopped taking it,i really wonder tht this fever neither worsens nor its fades away ,can it continue lifelong ??.Also can i meet any of doctors or yourself personally(or telephone) to get proper treatment.Can u suggest any good doctors either in Hyderabad or  Patna.

thank u again for ur reply and please help
udit

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Yes, it appears that tuberculosis is ruled out. Other causes could be SLE, rheumatoid arthritis, Polyarteritis nodosa (PAN) and other auto immune disorders, UTI, drug fever, sinusitis, glandular fever, otitis media, IBS, HIV, STDs, endocarditis, parasitic infestations (quite possible as you have a high eosinophil, hence get a stool test done), fungal infections, lymphomas and other cancers etc. Low grade fever is also seen in anemia, diabetes, hypothyroid states, overwork, stress and fatigue. Dehydration is another cause.
It could also be Post viral fatigue syndrome, which happens after a prolonged illness. There are no magic pills for it. This can be treated patiently with exercise, good diet, work out plans and multivitamins. A diet rich in fruits, vegetables and proteins should be taken along with a multi vitamin supplement. Eat 5-7 small regular meals every day. Drink plenty of water. Do deep breathing exercises. Join a good trainer and start an exercise program that will help you build up stamina. Try doing an activity a day that interests you. Try to remain calm.
If nothing helps, all tests for TB should be repeated.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!