[25F] Experiencing fever, swollen lymph nodes, and sore throat

Patient Description

A 25-year-old female presents with a post-fever condition, swollen lymph nodes, and a sore throat. The lymph nodes, located on the throat, are described as enlarged and tender, resembling the size of a large grape, and have been this way for 3 days. The patient reports that the nodes make breathing and swallowing very painful, with the pain being moderate in intensity. Accompanying symptoms include extreme fatigue, a high fever that reached 104 degrees, and mild dizziness that occurs in short spells and is alleviated by sitting and steady breathing. The patient has a medical history of cystitis since 2020, and depression and anxiety since 2018. Current medications include oral birth control, Lexapro, and Addyi. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, a few conditions could be causing your symptoms:

  • Infectious Mononucleosis (Mono): This is a viral infection often caused by the Epstein-Barr virus. It's common in young adults and can cause fever, sore throat, fatigue, and swollen lymph nodes in the neck.

    • Treatment usually involves rest, hydration, and over-the-counter remedies for pain and fever.
  • Strep Throat: This is a bacterial infection that can cause a sore throat, fever, and swollen lymph nodes in the neck.

    • Treatment typically involves antibiotics to kill the bacteria.
  • Tonsillitis: This is an inflammation of the tonsils, which can cause a sore throat, difficulty swallowing, and swollen lymph nodes in the neck.

    • Treatment may involve rest, hydration, and in some cases, antibiotics or a tonsillectomy (surgical removal of the tonsils).

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.

  2. Over-the-counter remedies: Over-the-counter pain relievers and fever reducers may help alleviate some of your symptoms.

  3. Seek medical attention: Given your high fever and the sudden onset of your symptoms, it's important to seek medical attention as soon as possible. Your healthcare provider can perform a physical examination and potentially order tests to determine the cause of your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Severe pain
  • Symptoms that worsen or do not improve after a few days
  • A rash, which could indicate a more serious condition like scarlet fever

Remember, while I strive to provide accurate information, I'm not a doctor. Please seek care from a healthcare professional to receive a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of infectious mononucleosis?

Common symptoms of infectious mononucleosis include extreme fatigue, fever, sore throat, swollen lymph nodes in the neck, and sometimes an enlarged spleen. It is often caused by the Epstein-Barr virus.


How can I differentiate between strep throat and tonsillitis?

Strep throat is typically caused by a bacterial infection and often presents with a sudden sore throat, fever, and swollen lymph nodes, sometimes accompanied by white patches on the tonsils. Tonsillitis can be caused by either a viral or bacterial infection and involves inflammation of the tonsils, leading to a sore throat, difficulty swallowing, and swollen lymph nodes. A throat swab test can help differentiate between the two.


What are the potential side effects of taking Lexapro and Addyi together?

Lexapro (an antidepressant) and Addyi (a medication for hypoactive sexual desire disorder) can both cause dizziness and fatigue as side effects. When taken together, these effects might be more pronounced. It's important to discuss any concerns with a healthcare provider.


When should I seek medical attention for swollen lymph nodes?

You should seek medical attention for swollen lymph nodes if they are very painful, continue to enlarge, do not improve after a few days, or are accompanied by symptoms like difficulty breathing, severe pain, or a high fever that does not subside.


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