Originally Posted by
bowenbunch
My husband has had heachaches for about 6 weeks and is experiencing muscle ache and flu like . He now feels slightly better but the headaches persist and he is always running a fever off and on. He sometimes feels sluggish and loses train of thought. They did a spinal tap and CT scan and MRI and everything is negative. He does work construction (waste water lines) and we did go to Cabo St Lucas in May. Don't know if anything is relevant to his sympthoms. He doc said that it probably is something viral. At this point he sleeps alot and he is always lethargic and dazed. Any suggestions or guidance...please
Aseptic Meningitis:
Differential includes,
BACTERIA
Listeria - food borne
Lyme - rash? Arthritis? Not right geographic area
Tuberculosis - should be eliminated with spinal tap
Rocky Mountain spotted fever - rash?
Syphillis - should have been eliminated with spinal tap
Q fever
FUNGAL
Histoplasmosis
Coccidio - from SW US ?
Candida
Aspergilosis
VIRAL
Herpes - MRI should indicate
HIV
Enterovirus
Alphavirus
West nile
Rabies - would have gotten worse
With the exception of HIV and Herpes, most viral therapy is supportive - there are no specific antivirals
PARASITIC
Tania solium - bad pork?
N fowleri - v bad, would see some CT MRI results
Acanthamoeba - see above
Round worms - systemic symptoms