- Male
- 32 Years
- 29/01/2025
I've had PV malaria three times this year and each time I took Lariago DS. I can't take PQ though, because my G6PD enzyme levels are on the lower side. Is there any permanent way to get rid of this? I'm really worried it might keep coming back.
Answered by 1 Apollo Doctors
Given your recurrent Plasmodium vivax (PV) malaria and G6PD deficiency, which prevents you from taking primaquine (PQ), consider consulting a specialist for alternative treatment options, such as a higher dose of chloroquine or a combination of chloroquine and other antimalarial medications, and take preventive measures, including using insecticide-treated bed nets, wearing protective clothing, and applying insect repellents to minimize the risk of future infections.
Dr. Mubarak Suggests...
Consult a Infectious Disease specialist
Answered 04/07/2025
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View allI'm dealing with this recurring infection caused by Staphylococcus aureus bacteria, and it keeps showing up every couple of months since it first appeared in January 2019. I've had it in various placeslike my knee, finger, chin, nose, and scrotum. Even after seeing multiple doctors and taking antibiotics like Linezolid and Clarithromycin, the infection just popped up again on my right scrotum, and every time it brings on a fever. I've even had surgery for a carbuncle on my knee under anesthesia. The pus and blood cultures both came back positive for Staph A, but my nasal swab results were negative both times, and blood cultures were too. I'm really struggling to figure out why this keeps happening and would appreciate any guidance on how to stop these infections from coming back. What could be causing this, and is there anything specific I should be doing to prevent it?
Recurring Staphylococcus aureus infections indicate a persistent underlying issue. To address this, consider: Medical Evaluation 1. Comprehensive metabolic panel (CMP) to rule out diabetes, kidney issues, or electrolyte imbalances. 2. Complete blood count (CBC) to assess immune function. 3. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) to monitor inflammation. 4. Staphylococcus aureus susceptibility testing to determine antibiotic resistance patterns. 5. Nasal swab and skin cultures to identify potential carriers. Infection Prevention Strategies 1. Personal Hygiene: Frequent handwashing, showering, and cleaning. 2. Skin Care: Moisturize, avoid irritants, and use antibacterial soap. 3. Antibiotic Stewardship: Avoid unnecessary antibiotic use. 4. Immunizations: Ensure up-to-date on influenza, pneumococcal, and tetanus vaccines. 5. Stress Management: Yoga, meditation, or deep breathing exercises. Root Cause Investigation 1. Carrier State: Nasal or skin colonization. 2. Underlying Conditions: Diabetes, eczema, or other skin conditions. 3. Environmental Factors: Contaminated surfaces or water. 4. Genetic Predisposition: Family history of Staph infections. Treatment Considerations 1. Long-term Antibiotics: Consider oral antibiotics (e.g., doxycycline or minocycline) for 6-12 months. 2. Topical Treatments: Antibiotic ointments or creams. 3. Surgical Intervention: Drainage or debridement for severe infections. Recommended Specialists 1. Infectious Disease Specialist 2. Dermatologist 3. Orthopedic Surgeon (for skin and soft tissue infections)
Answered by 1 Apollo Doctors
I'm really concerned about how quickly someone with Covid-19 can spread it to others. Like, do they start spreading the virus right after they get infected, or does it take a few days? I'm trying to figure out if there's a period where they aren't contagious. Could you shed some light on this?
they can spread immediately after you getting infected. so quarantine is done
Answered by 1 Apollo Doctors
I've been having a fever at the same time every day, with shivering and body pain for the last 45 days. I visited a doctor, but they couldn't diagnose what's going on. Can you help me figure out what this might be? It's been pretty frustrating and worrying.
It sounds like you may have a recurring fever pattern, possibly due to an infection like malaria, dengue, or typhoid, which needs specific testing. Request blood tests like CBC, malarial parasite, and typhoid panel, and ensure adequate hydration and rest while awaiting results.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.