Q. My friend abused cocaine and became sick. What to do now?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 30, 2016 and last reviewed on: Apr 03, 2020

Hi doctor,

My friend abused weed, alcohol and cocaine in a span of 20 days. Last two days he had cocaine twice, even though that was the first time and did not sleep. Then, he travelled and became sick with 104 degree fever, cough, swollen tonsils and right knee numbness. His blood test result showed RBC count 13.4 g and WBC 11300 with leukocyte 16%. This happened before a month and he is still coughing. He just had medicine to reduce body temperature. Please help.

#

Hello,

Welcome to icliniq.com.

  • I am very much concerned about acquiring diseases that could be transmitted through contaminated needles namely HIV, hepatitis B and C.
  • He may be exposed to EBV infection (Epstein-Barr virus) or just acute tonsillitis due to strep throat or other viral infection (Influenza).
  • Remember, if he has not done his drugs then he may be undergoing acute withdrawal.
  • I would highly suggest that you take him to a doctor and get the following tests.

Investigations to be done:

1. HIV RNA by PCR (not the antibody testing)
2. Monospot test.
3. Throat swab and culture.
4. Hepatitis C RNA by PCR.

Probable diagnosis:

It would depend upon the results. If you can get the results to me then it would be great.

Treatment plan:

I suggest tablet Ibuprofen or Diclofenac sodium every 8 hours for fever. Consult his specialist doctor, discuss with him or her and take the medicine with consent.
If he is unable to eat or drink, jittery, confused, having a high heart rate and low blood pressure then he should be seen in the emergency room.

Regarding follow up:

Revert back with the report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


Was this answer helpful?

 | 

Related Questions:
What are the signs of tonsillitis?

.. first enlighten you about tonsils. Tonsils are a pair of soft tissues located on either side of your pharynx. They are lymphoid tissue and play an important role in immune system to fight infections and act as first line defense for throat infecti...   Read full

Does hepatitis virus stay dormant in the body after infection or get cleared?

Do you have any symptoms of active hepatitis, like jaundice, or painful liver ... Hello doctor,I have been given hepatitis B blood test that showed the HBsAg negative and the hepatitis B cor...   Read full

How does salt water gargling cure tonsillitis? How Vaporizer and Medicated Inhalant helps?

.. are of various types and not all of them are useful for someone suffering from tonsillitis. And also, tonsillitis requires gargling of warm water mixed with salt. Salt water gargling helps reduce pain, inflammation and infection in the throat by t...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Is the HIV RNA test conclusive?

Query: Hi doctor, I had unprotected sex with a woman for two to three minutes around four weeks ago. I took HIV 1 RNA test on 11th day which was negative. Again I took complete STD panel tests on 21st day with HIV-1 RNA and HIV fourth generation tests, all of the results were negative. But, I can notice sm...  Read Full »

HIV1 RNA test is negative. Can it be concluded that I do not have HIV?

Query: Hi doctor,I had sex with massage girl a month back with a condom. But I am not sure about condom break. I had HIV1 RNA test 21 days late. It came negative. So do I need to take another test or can it be concluded that I do not have HIV?  Read Full »

Can hepatitis C be transferred if the blood is in a dried state?

Query: Hello doctor, Can hepatitis C be transferred if the blood is in a dried state? For example, it dried on a surface and you touch it with another dry object or with dry hands. I understand if you wet the dry blood to clean it up it can transfer but I am talking in a strictly dry state. I was told it ...  Read Full »

Also Read


Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»
I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.