Urinary infection, urinary tract infection, bacterial infection

Question: My son's pain in the bones, namely, in the knee joints and in kolenostope. He had cramps in the knees, hard to walk. He has no temperature, he feels good. In some places there are pains in the joints. Zdali tests for brucellosis, he went weakly positive 1:2. Blood test ESR 35. Analysis revmoproby: total protein 88, albumin 50, thymol test 4, CRP 32, RF negative, ASLO negative. He was 15 years old, he is a very big baby. Thank you.

Answer: 1:2 figure somehow not impressed and not understandable. What reaction has been used? Pain in the joints of the feet may be associated with puberty. It should always consult your orthopedic and traumatology. If the test at your doctors consider brucellosis significant, it is necessary to conduct additional studies dzhlya confirm the diagnosis. In the meantime, do not adjust themselves to the horrors. Sincerely, Zakharenko SM

Question: Hello Sergey Zakharenko re zdali we tested for brucellosis, we were told negative in another laboratory. And in the first analysis of the immune-enzyme analysis of weakly positive 1:2 (negative) We go to revmotologu he sends us to the infectious disease, and now we do not know where and whom to contact. What do you advise. Thanks in advance.

Answer: We must decide on the test for brucellosis. This must be done infectious diseases. How? Name reaction, you titre, the estimated limit. Then conclusion. If the doctor finds an analysis of "doubtful" – repeat the test in 2-3 weeks. All complaints are compared with the analysis. Judging by the situation, a negative response on brucellosis is very likely. But everything is solved in interpersonal communication. Sincerely, Zakharenko SM

Question: Doctor, I have a very long and complicated history of the disease. It all started 4 th year ago, a holiday in Turkey in 2004, I had a strong poison which had not been diagnosed. Symptoms: severe dizziness, nausea, vomiting, diarrhea, abdominal pain, a slight increase in t. After four or five days the symptoms began to disappear with the exception of abdominal pain, which Thelen three weeks lakolizovalis in the right lower abdomen. I repeatedly asked the doctors, the legs no result. Later during the 4 years on several times a year (about 4-5 times) I uvazali with Silin pain in his right side on the ambulance with suspected appendicitis. . . but further investigations revealed that the blood of "quiet" ie, white blood cells in normal, ESR, too. . . and on palpation there was no clinical appendicitis, nausea and diarrhea was not there. Also almost the entire time I have had increased intestinal gas formation, and aching pain on the right sometimes pain sohanyalas weeks. In ocherenoy every attack put me in the hospital after passing many tests found by RPGA yersiniosis 1:200. We accept levomycetin by 0,5 three times a day. While doctors can not accurately opredilitsya how many days did it to me rimenyat. Do you think some therapy for me to be the most adequate, and do I need to be treated in hospital. . . . and what predictions the treatment of this infection in my case. And whether conservation vozvozhno t 37, on the fifth day of antibiotic use? Grateful in advance!

Answer: The observed number of antibodies is not very convincingly confirms the presence of yersiniosis. Levomitsetina dose of 1.5 g per day did not cure the disease. If you apply this drug, then at 0.5 g 4 times a day and not less than 14 days. In this reaction there is a seed faeces to highlight Yersinia (a long time, but at least then it will be clear), agglutination test (RA), ELISA antigen of Yersinia and PCR. Oh in Moscow at the Department of academician ND Yushchuk the infection is well known. Sincerely, Zakharenko SM

Question: Dear Sergey, I am 35 years old, named Nazgul. 4 years ago was in the hospital with a diagnosis of nodular erythema. Treat, when she read the doctors saw that all tests were good except the reaction Hedelsona + + +, Wright was negative. After 5 months zaberemennela, but the baby stopped after 7 weeks. Again, all tests showed normal, except for the reaction. Hedelsona + + +, Wright отриц. I think that the infection killed the baby, I suspect that I was not brucellosis erythema. Each month, stung bitselin-5, after 2 years again passed the tests Hedelsona + + +, I very much want to have a baby, and while not decide this issue will not be able to give birth. Help me please, I have drawn. infectious diseases to the best of the city, treat the reaction showed Hedelsona + Wright отриц. Calmed down, recently decided to again pass analysis Hedelsona was + + +, Wright 1:100. Help me, I feel fine, never hurts, the temperature of 36.3 normal, running, only when I go down the stairs sometimes the joints begin to feel. Thank you in advance.

Answer: Reaction Heddlsona is not accurate. Always are checking it. And Wright's reaction to the diagnosis more reliable. You should get as much as possible about the full survey of brucellosis. Only contact is not in the clinic, and in the nearest major medical center that has experience in treating such patients (or the department of infectious diseases institute). Bitsillin on Brucella does not work. For treatment of antibiotics and use other schemes. Pregnancy is to wait a little while. Sincerely, Zakharenko SM

Question: Hello. Analysis of anti-Brucella species showed the result of 1:50. Does the result of the disease – brucellosis? What are the next steps? 7 years ago was fever (37.3 -37.5), which lasted more than six months every day. Doctors in different centers could not understand. Is it possible to brucellosis since that time? Thank you.

Answer: Nothing at 1:50, I can not say, such indicators in 95% of rural residents in endemic regions the incidence of brucellosis. For a more detailed answer, I need more information on your medical history.

Question: Doctor! I have a second pregnancy is 23-24 weeks. The first 8 years ago ended in miscarriage at 26 weeks, the reasons have not found. At this time of all infections found only brucellosis: reaction Heddlsona 344, the reaction Wright 1:100. Is it dangerous? What it can threaten me and the child and what can be done

Answer: You moved brucellosis, possibly in a latent form. The Council repeated the analysis after 2 weeks and if the numbers will increase, consult with infectious diseases and obstetrician gynecologist about the possibility and necessity of treatment.

Question: Good day! A blood test showed Wright's reaction 1:200, a doctor treating is not appointed, and asked to repeat the analysis in three weeks. What could face a blood test, and correctly, that I did not get any treatment

Answer: You are probably infected with Brucella, the tactics chosen by a doctor, is correct, but it is better done with Phragmites brucellosis diagnostics, and the results of the survey to decide on the appropriate treatment.