Conversation: The conversation between human and AI assistant.
[|Human|] My grand daughter is 16 years old and she has not gotten better in 2 weeks with 2000 mg Amoxicillin then was changed to Zithromax. She has been tested for Mono twice and both were negative. Her symptoms are: headache, light sensitivity, fatigue, back pain, very sore throat, neck stiffness, hot and cold flashes, body aches, loss of appetite, cough, stuffed nose and nausea. She is overweight and has been bitten several times over the last few months by mosquitos. Do you have any idea what it may be?
[|AI|]  Hi dear...at beginning the symptoms you mentioned are not indicative of mononucleosis only but there are other causes for that....you can't be assured of mononucleosis except with investigations like monospot test and hydrophilic ab test... ..if it was negative we can repeat it as ab test may give false results before 3rd week .....you mentioned Avery important point in history of disease that she was bitten a lot by mosquitoes...we cant ignore that matter...as these symptoms lead us to think about malaria or Lyme disease .....the most important thing to know is your localization area....if there are cases of malaria or Lyme disease of this area...you can search about it simply...simple steps will help you to good results....and treatment will be easy and no more stress....wish your granddaughter healthy long life.......thanks for contacting us