Infectious Disease Specialist Questions

Symptoms since 04/01/2022

99.6-101.5 fever since 04/01/2022, Lesions on spine, pelvic bones, nodules in both lungs, Chest pain when breathing, loss of appetite, nauseas, vomiting, Stomach pain when eating little bits of food, fatigue, Weight loss.

T Spot test positive
Bone biopsy for infections/TB Negative for TB, negative for bacteria infections.
X-ray Negative for TB

Ruled i have latent TB however it does not cause symptoms so it does not explain any of the symptoms i continue to deal with.

I need new perspective so i can go to doctor with new idea.

when this started for 2 weeks my pcp had me on 2 antibiotics and 1 antifungal. During this time my fever went to normal i was eating a bit more. After they were finished it went right back to all the above symptoms.

Female | 46 years old
Complaint duration: 01/04/2022

1 Answer

Thanks for the question. There are several possibilities. My first thought is Coccidioidomycosis or Histoplasmosis, which are fungi. Consider other fungi, mycobacteria other than TB, Wegener's Granulomatosis, a few malignancies, and others. This needs a more thorough workup. See either a pulmonologist or Infectious Disease specialist.