Question 1

I'm getting a bit worried because a couple of months back, a street dog tried to bite me but didn't really get a good grip. It left a small wound on my thigh just with one of its teeth, and I cleaned it up with Dettol right afterward. It's been over two months now, and its almost healed  there's just a little dark spot left. Everything seemed fine, but now Im starting to get anxious about whether I could've picked up any infections or viruses from it. I see the same dog around regularly, so I can identify it if that helps. What should I do to check if Im all clear from any infections or viruses from the encounter?

Accepted Answer

Fever Persisting Despite Treatment

_Test results interpretation:_

1. _Initial tests (2132016)_:
    - Typhoid rapid test: Positive (IgM antibodies), indicating recent typhoid infection.
    - Negative results for malaria and microfilariae.
2. _Follow-up tests (2552016)_:
    - Typhoid rapid test: Negative (IgM and IgG antibodies), suggesting the infection has been cleared.

_Persisting fever:_

1. _Possible causes_:
    - Relapse or re-infection with typhoid
    - Other underlying infections (e.g., urinary tract infection, pneumonia)
    - Inflammatory or autoimmune conditions
    - Medication side effects
2. _Additional tests recommended_:
    - Blood cultures to rule out ongoing bacterial infections
    - Complete Blood Count (CBC) to assess for signs of infection or inflammation
    - Erythrocyte Sedimentation Rate (ESR) or C-Reactive Protein (CRP) to evaluate for inflammatory conditions
    - Urine analysis and culture to rule out urinary tract infections
3. _Fever type:_
    - The persistent fever could be a low-grade fever, which is a common symptom of various conditions.

Question 2

I'm really worried because my wife has had a lump in her right armpit for about three months, and now there's swelling in her right breast too. Her doctor had her do a PPD TB skin test, and it came back positive with a 20 mm induration, even though she doesn't have any typical symptoms like a cough or fever. She's on anti-TB meds now, but I'm wondering if TB could really be causing the lump and the swelling. Is the skin test enough to confirm TB, or should we look into doing more tests? Your advice would be really helpful.

Accepted Answer

yes tuberculosis can cause lump. skin test is a initial diagnostic test

Question 3

I recently had sex with a prostitute and even though I was using a condom, it ended up staying inside her after I ejaculated. I went and got an HIV test and it came back negative, but I'm still a bit anxious. Should I consider taking Post Exposure Prophylaxis?

Accepted Answer

Delayed Period, Clomid Treatment, and Positive Pregnancy Test

_Positive Pregnancy Test_

1. _Congratulations_: The positive pregnancy test suggests you are likely pregnant.
2. _Estimated Gestational Age_: Based on your last menstrual period (LMP) and assuming a regular 28-day cycle, your estimated gestational age would be around 10-11 weeks.

_Clomid Treatment and Multiple Cysts_

1. _Clomid stimulation_: Clomid can stimulate the ovaries, leading to multiple follicles and cysts.
2. _Ovarian cysts_: The presence of 5 cysts in your ovaries is likely a result of Clomid stimulation.

_Meprate (Medroxyprogesterone) and Pregnancy_

1. _Meprate use_: Meprate is often used to support early pregnancy and prevent miscarriage.
2. _Side effects_: Common side effects of Meprate include dizziness, headache, and breast tenderness.
3. _Pregnancy safety_: Meprate is generally considered safe during early pregnancy.

_Next Steps_

1. _Schedule an appointment_: Visit your gynecologist as soon as possible to confirm the pregnancy and discuss further management.
2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to confirm the pregnancy, check for any complications, and estimate the gestational age.
3. _Prenatal care_: Begin prenatal care, including regular check-ups, blood tests, and ultrasound scans, to monitor your health and the baby's development.

_Hypothyroidism Management_

1. _Thyroid hormone levels_: Monitor your thyroid hormone levels (TSH, T3, and T4) regularly during pregnancy.

I've just had the Mantoux test done on 1542017. Now I've got this 20mm swelling and redness where they injected it. What could this mean? Should I be concerned?

done sputum examination and CBNAAT

More Infectious Disease Health Queries

I recently had sex with a prostitute and even though I was using a condom, it ended up staying inside her after I ejaculated. I went and got an HIV test and it came back negative, but I'm still a bit anxious. Should I consider taking Post Exposure Prophylaxis?

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