Urinary infection, urinary tract infection, bacterial infection

Question: I was bitten by ticks in Moscow. area in July 2008 on the same day he was taken to an emergency station and said that in principle nothing to worry about. On the same day at the site of the bite came a little red (3 mm in diameter). After 20 days, it is not passed, but the size has not increased. At the touch felt seal. At the same time noticed a rash on the back. She feels normal, the temperature was not increased (at least I did not notice). Called to the clinic, I was told that if you wish you can pass the tests, but most likely "nothing to worry about" because when Borreliose disease redness much more. How all this seriously. Is it possible to calm down or vsetaki must go to the doctor and have medical tests. Thanks in advance for the answer.

Answer: What kind of a rash appeared on the back? If you feel has not changed completely, then the probability of tick-borne borreliosis is low. Isle tests to pass, then on both classes of immunoglobulins – M and G. Sincerely, Zakharenko SM

Question: What tests must pass in order to identify entsifalita and tick-borne borreliosis. Is there a difference between analysis of Imunnoglobulin M and G, and analysis on the "class of IgG antibody to the virus of tick-borne encephalitis and IgM class antibody to the virus of tick-borne encephalitis," Antibodies of class IgG to Borrelia burgdorferi "," class of IgM Antibodies to Borrelia burgdorferi " , "Antibodies of class IgG Bortedella pertusis", "Antibodies of class IgM to Bortedella pertusis", "class IgA Antibodies to Bortedella pertusis". To diagnose kakienibud need special tests or simply analysis on Imunnoglobulin M and G "?

Answer: The difference is. If you are simply IgM, it is assembling the concept, such as the total mass of these substances in the body. The second name in your letter – it is the specific antibodies to specific microorganisms. This is what should be done. Sincerely, Zakharenko SM

Question: A good time for you. be kind, that's a question. removed the tick, the analysis showed a Number of Borel, immediately put immunoglobulin (tick) and on the 3rd day appointed ceftriaxone. on day 2, swollen lymph glands in the neck, onimela 30% of the left side of the nape of the neck (the side of the tick bite left breast). Now the 14 th day, I continue to put 1gr. ceftriaxone slightly inflamed lymph nodes, no redness, site of the bite. QUESTION: found in the Internet the drug ceftriaxone Rocephin which is domestically produced but it's worth 10 times more expensive here in Krasnoyarsk, so it is more effective?

Answer: On the second day of tick-borne infections do not develop. Ceftriaxone install time to end. Changes in the lymph nodes of the neck and your numbness associated with some other reason (may be two different reasons – one of them osteochondrosis of the cervical spine). With regard to the names of drugs. Ceftriaxone – the name of the drug, related to 3-generation cephalosporins. Has the drug company F. Hoffman-La Roche Ltd.. and apart from a generic name given him his own name – Rocephin, he is the best and most naturally expensive. After the expiry of patent protection the drug began to produce other pharmaceutical companies. So LEK (now part of the group Sandoz) produces cheaper Lendatsin. A total of generics there a couple of dozen. Cheapest – the most suspicious in terms of efficiency (and hence the quality). Sincerely, Zakharenko SM

Question: Hello. in April this year, was bitten by ticks. somewhere in a month was tested for Lyme disease, the result was negative and the doctor said that everything is normal. But the red spot on the site of the bite and does not pass, but now it has come out of some viscous liquid. Because of what this might be? And may again pass the tests cost? Thanks in advance for help.

Answer: Show the place of the injured infectious diseases, estsmysl and consult your dermatologist. Probability borreliosis is questionable. Sincerely, Zakharenko SM

Question: Good day! Child (4 years) was bitten by ticks. Immediately went to the clinic, pulled out and sent for analysis. Infectiologists prescribed 5-day prophylactically to ampicillin. If any sense in his reception? Antibiotic is weak, and the baby three weeks ago suffered a course of azithromycin and generally painful, do not want to once again give medicines. Maybe it makes sense to wait for the results of the analysis?

Answer: Azithromycin 3 weeks ago does not help in the prevention of Lyme disease now. Namely for this purpose and proposed ampicillin (although you can replace it with amoxicillin, for example). If the result will be tomorrow – you can wait. Sincerely, Zakharenko SM

Question: In May 2008, Mr. tick bites, Lyme disease analysis on day 6 was positive. 10 days of doxycycline, taken with diozolinom. Two subsequent blood tests a month and 3 showed a negative result. Can I assume that I am cured of borreliosis?

Answer: Once doubtful looks positive analysis on the 6 th day. Napishiet that it was for the study. Sincerely, Zakharenko SM

Question: My friends and I are going in the middle of summer to go to Lake Baikal, When should begin vaccinations of encephalitis, and where can they get?

Answer: Regardless of your plans to start vaccination against tick-borne encephalitis in the autumn, October-November. Second dose of vaccine injected in February and March. Where? In the vaccination room in your city. In St. Petersburg (and in any other city) can apply to the clinic for infectious diseases hospital, or in any other vaccinal study. Sincerely, Zakharenko SM

Question: 1 time I was ill with Lyme disease in 2005, 2 weeks of tetracycline antibiotics, blood is not rented, with the autumn of 2006 began to hurt the joints, with the beginning of 2007 started to reduce the eggs, then in May of 2007 tick bite, but bite have not seen and held until noticed and came to the doctor a couple of months, the symptoms were feeling legoy hoarse and sore diverges in the leg, 2 weeks yunidoks solyutab to 2 tablets per day, a spot propalob passed blood in 2 months отриц. All winter tingled periodically suffered from cramp and leg muscles and buttocks. Passed blood in 2008 is positive, retake again, as (IgG 2,8 IgM 3,2) passing cytomegalovirus and easy gerpis pos. (titles not remember right now), the diagnosis of Lyme disease, chronic, treated – tseftiakson 1 g twice daily intravenously number 14, meksidol number 5, milgama number 10. joints after treatment became less ill, but the tingling and muscle pain intensified, in the hands appeared tezhe symptoms, blood is passed through a 1.5 months. (IgG 1,38 IgM 1,4), joints ache a little again. What is related neurological worsening, and I was cured, and where to turn for kompitentnoy advice?

Answer: Apply to be infectious diseases. Borreliosis can be accompanied by lesions of the nervous system and joints. But she borrelia may have to leave your body as a result of treatment, but the affected joints, nerves, etc., may continue to ache. And the treatment will have no need antibiotics and other therapies. To understand the situation needs full-time consultation. Sincerely, Zakharenko SM

Question: 2 weeks (September 20) ago I was bitten by ticks in the ankle. They pulled at once – not yet had time to drink blood. Grade prizhgli iodine. Went to the hospital on the third day (when we arrived in the city), vaccinated (immunoglobulin) did not place, said that, if bitten in the leg – it is not dangerous. They sent for 3 weeks have seen a therapist. 2 weeks later there was a small tight pink pimple. He already 3 day, the amount is not increased. Temperatures no, no pain, malaise, too. Could this education – mean the beginning of tick-borne berrlioza?

Answer: Not typically. Usually this spot, increasing in size with the formation of a clearing in the center. In any case, you should visit the infectious diseases and do a blood test for antibodies to borrelia. Sincerely, Zakharenko SM

Question: Hi, Sergey! In late August, was bitten by ticks, vaccine intsefalita did, two weeks later nachilis Lyme disease symptoms, the diagnosis of Stage 1 is already in podverdili Monica, until that time, breast-fed infant, was appointed treatment Erythromycin (tablets) Flyukostak, Ksizal, rr calcium gluconate, Rekitsin D, Akriderm Ghent. Redness was held a week after starting treatment. After the treatment, immediately did a blood test for antibodies. Analysis of the Institute of Rheumatology (Moscow) showed IgG 4,24 and IgM 1,76. Everywhere write that helps Erythromycin is not effective, and it seems the way it is. As in my case to do next, or what can you advise.

Answer: What is the ineffectiveness of treatment was just for you? Antibodies in the blood to appear in humans with normal immune system mandatory. If no signs of illness, you need to remain under the supervision of infectionist residence. Sincerely, Zakharenko SM