Question 1

So I've been dealing with this TB infection in my neck for about 2 years now, and I got treated through a government dispensary, but it doesn't seem to be getting any better. I'm still on DOTS treatment, but the swelling on both sides of my neck and these small lumps are still there. I'm really not sure if they're lymph nodes or if the TB bacteria is still hanging around. Could you give me some advice on what I should do next?

Accepted Answer

refer to dermatologist

Question 2

I'm dealing with a 99-degree fever after having typhoid for two months. Even though Ive recovered from typhoid, this mild fever still lingers. My fever panel results are normal and my chest X-ray looks fine. What additional tests should I consider to figure out what's causing this fever?

Accepted Answer

To further investigate the cause of your persistent low-grade fever after recovering from typhoid, I would recommend the following tests. Blood culture to check for any bacterial infection. Urine culture to rule out urinary tract infection. Widal test to ensure complete recovery from typhoid. Dengue NS1 antigen test to rule out dengue fever. Malaria antigen test to rule out malaria. Typhidot test for typhoid fever. Liver function tests to assess liver health post-typhoid. Complete blood count (CBC) to check for any underlying infection or inflammation. Serology tests for other viral infections like hepatitis. Thyroid function tests to rule out thyroid disorders causing fever These tests will help in identifying the underlying cause of your persistent fever and guide further treatment.

Question 3

I'm really concerned about my husband. He had a fever and his platelet count was really low, so the doctor first thought he had a viral fever. After some medication, his platelets went up, but when we checked again a week later, they dropped again. They suggested we test for HIV, and we found out that HIV 1 came back reactive, but HIV 2 was non-reactive. They did a rapid ELISA test too. Does this mean he really has HIV? And can we still consider having a baby?

Accepted Answer

The reactive result for HIV-1 on the rapid ELISA test indicates a positive result for HIV-1 infection. However, the non-reactive result for HIV-2 suggests that HIV-2 infection is not present. It is important to confirm these results with further testing such as Western blot or PCR for HIV-1. Regarding having a baby, it is still possible to have a baby if one partner is HIV positive. With proper medical care and treatment, the risk of transmission of HIV to the baby can be significantly reduced. It is important for both partners to consult with a healthcare provider specializing in HIV care to discuss options such as antiretroviral therapy and other measures to reduce the risk of transmission during conception and pregnancy.

Your test results strongly suggest a possible early dengue infection, given the weak positive NS1 antigen and IgM. Early-stage symptoms and lab tests are critical to confirm and monitor the disease progression. Consult your doctor immediately for appropriate care and monitoring.

More Infectious Disease Health Queries

I'm dealing with a 99-degree fever after having typhoid for two months. Even though Ive recovered from typhoid, this mild fever still lingers. My fever panel results are normal and my chest X-ray looks fine. What additional tests should I consider to figure out what's causing this fever?

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