9 doctors weighed in:

Friend:58, healthy, not immune compromised-4 d h/o pm fever, chills, sweats, myalgia, fatigue;works in nj wetlands. No rash. Start empiric doxycycline?

9 doctors weighed in
Dr. Kathleen Mullane
Internal Medicine
5 doctors agree

In brief: Zoonoses?

Looks like you're concerned patient may have zoonoses.
Tick born ds' in nj can be lyme, anaplasma, erlichia, babesia or even rocky mt spotted fever. Certainly this presentation could be anything from bacterial, viral, parasitic or fungal infection. Would do basic fever w/u (good pe; cultures blood, urine; ua; cbc; liver panel; cxr; esr/crp); check thick/thin blood smear. Treat based on findings.

In brief: Zoonoses?

Looks like you're concerned patient may have zoonoses.
Tick born ds' in nj can be lyme, anaplasma, erlichia, babesia or even rocky mt spotted fever. Certainly this presentation could be anything from bacterial, viral, parasitic or fungal infection. Would do basic fever w/u (good pe; cultures blood, urine; ua; cbc; liver panel; cxr; esr/crp); check thick/thin blood smear. Treat based on findings.
Thank
Dr. John Goldman
Internal Medicine - Rheumatology
4 doctors agree

In brief: Need evaluation

Are you treating lyme disease? See your physician and get an evaluation.

In brief: Need evaluation

Are you treating lyme disease? See your physician and get an evaluation.
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified, Internal Medicine
48 years in practice
16M people helped
Continue
111,000 doctors available