Thursday, 29 of July of 2010

Category » Herpetic infection

Chickenpox in adults is almost

Question: Hello. I am a month 23, a child was sick, the first symptoms of chickenpox appeared about 7 days ago: 3-5 individual pimples in various parts of the body, which are then picked. 4 days ago woke up terribly weak, without any symptoms, the evening her temperature rose to nearly 38, a headache in the frontal part. The next day continued, the temperature still rose slightly (to 38. 5). All this time thought that a viral infection such as influenza or streptokkoka. Yesterday, towards evening rash increased exponentially, primarily on the face. I have very weak immunity (a tough year, a huge shortage of vitamins and other dermatological diseases, in-rye I wore out, session). Pugh vitamins (askorbinku, AEVIT), began to eat fruits, gargle with sage, and mouth – soda. On the face of a living meta no – all in blisters, and brilliant green. . Questions: I know that can not skovyrivat sores, but when some liquid from the sores, she immediately crystallized. At the slightest touch of these yellow crystals separated. Can it happen? Or skovyrivt not be the last stage of the disease? And more: the particularly large blister fluid freezes, even in the channel and does not allow the incident to go out again. Causes pain. I have heard of some expensive foreign ointments that supposedly can be used instead of green fodder at least on the face and after which there remains a scar. What kind of ointment? Advise whether something else to treat me, and how to escape from itching? I salootdelenie high on the head and face. Can I wipe the face spitrovym solution to remove all dirt, and then again to smear Zelenka (or ointment)? Thank you!

Answer: You should see a doctor. For chickenpox is not characterized by the formation of significant quantities of "yellow crystals. It may look streptococcal skin lesions. Yes, and after 7 days of onset of chickenpox suddenly repeated waves – not typical. Call the doctor back home. Or to chickenpox joined a bacterial infection and it's time to add the antibiotic, or it is not chicken pox, but the antibiotic with massive defeat will also be needed. Sincerely, Zakharenko SM


Herpes on the lips!

Question: All my life I am suffering with herpes on the lips! Last time something was often pour out, and now generally 2, immediately to the top and nizhdney lip! Buy all sorts of means, now mazhus acyclovir! I think that nothing helps! 'll Show which doctor to seek to treat the virus is inside the body: If at all possible!? And as is generally treated? Thank you.

Answer: Looking for center for the treatment of herpes virus infections. You may need to carry out treatment of the acute episode tablets acyclovir. And then administered prophylactically to think about. Relapse prevention program usually involves several stages and more than one pill. See the section on herpes simplex, where this topic has been discussed more than once. Sincerely, Zakharenko SM


Diet

Question: Thank you for your answers to the questions that I asked you earlier. Perhaps this question and stupid, but still. Teenager treats infectious mononucleosis – a month already are on a strict diet 5, will comply with all requirements infectionist, we pass tests. But in November the child's birthday – 16 years – and he wants to eat nonuseful pizza with friends and lettuce probably not very useful. How a few months should be a strict diet? Can one day get around it? For problems or questions, the child is important. Thanks

Answer: The period of observation recover from – 6 months. Then (if not left tails) – ordinary life. So every chance to eat "wrecking" food for the child eat. Do not worry in advance. Sincerely, Zakharenko SM


Cytomegalovirus and pregnancy planning

Question: Good day! Could you comment on the results of my tests? Entangled in a completely online. Many thanks in advance. 'm Planning a pregnancy. So: 1) Antibodies to cytomegalovirus IgG – 1,60 (positive) (ref. value: 0,00 – 0,40), IgM <8,0 (negative) (ref. value 0 – 15). I can not understand what that means? The fact that the virus is in sleep mode? Confused by such a small titer IgG. 2) Antibodies to Toxoplasma IgG – 107,0 (positive) (ref. value 0,0 – 7,2), IgM <3. 0 (negative) (ref. value of 0 – 6) What should I do with these results? dangerous? it possible to plan the pregnancy or to be treated?

Answer: 1. – Chronic CMV infection. If no complaints – it is without clinical manifestations. And let him sleep on. 2. – Chronic toxoplasmosis. Antibody longer than desired. There need personal consultation with infectionist. But mandatory adverse effects have not yet seen. Plans for the pregnancy to defer to the results of a hike to infectious diseases. You may have to undergo a course of treatment. But maybe not. . . Sincerely, Zakharenko SM


CVM

Question: Hello. I have 27 weeks of pregnancy, the blood test detected IgM to cytomegalovirus in manual 1,84. (This entry in my card) designated immunoglobulin "Tsitotekt. What do you suggest?

Answer: do nothing, if no complaints of feeling, no problems with the pregnancy and no problems in the child. If it is – then treatment obsuzhdaemo. Sincerely, Zakharenko SM


cytomegalovirus

Question: 11. 06. 2008. Were preterm delivery period of 35 weeks, antenatal diagnosis of fetal asphyxia. At the conclusion patalogoanatoma: pathology of the placenta – Multiple difekty placenta. We talked with patalogoanatomom he said the infection was struck by the placenta baby receives less oxygen. When planning pregnancy, I did not sit the tests for infection during pregnancy not reasonable, I did not hurt felt like a well. What happened to us this was a big neozhidannstyu. Now I zdala tested for infection with CMV lgG – 6. 0, CMV lgM – positive, HSV lgG – 20, VPGlgM – negative, rubella lgG – 120, rubella lgM – negative, chlamydia lgG – 1: 128, chlamydia lgA – negative. Could these infections hit the placenta? When planning the next pregnancy that attention? Çàðàíåå ñïàñèáî.

Answer: It was necessary to do tests of the placenta. We can not assess the role of these infections. From CMV and herpes can not escape. important that they have not been overly active during pregnancy. Now it is not anticipated. Immunity to rubella is now – he does not interfere. But with chlamydial infection should understand in the first place is not so much as a reason for the defeat of the placenta, but as unnecessary for a future full of life. Sincerely, Zakharenko SM


Detected infection. Is all afraid?

Question: I 20ned. pregnancy. When screening for TORCH-infection have been identified are: CMV: Ig G-22. 7, herpes (I + II): Ig G-19. 8, Toxoplasma gondii: Ig G-negative, Chlamydia: Ig G-negative, rubella virus: Ig g-20. 3 (with norms less than 9-Neg, more 11-pos.) I read about these infections are of course a lot of terrible, but judging by the testimony of any they are all not severe, or no antibodies detected (negative result). The doctor advised once again to pass the same tests. Please tell us if everything terrible for the fetus and whether it makes sense to duplicate the analysis in other honey. center?

Answer: From these results, the analysis should go to infectious disease. After examination and discussion he would make appropriate entries in your medical card and the gynecologist will not chase the lab tests in vain. A terrible and there is nothing. Sincerely, Zakharenko SM


Cytomegalovirus infection

Question: Doctor, good afternoon. I have 8 weeks of pregnancy. Was tested for infection, the results of the following: CMV IgM-negative, CMV IgG-positive titer of 1.2 (standard put. Titers 1,1); Ureaplasma IgG-doubtful; Mycoplasma IgG-positive titer of 2.4 (standard put. Titers 1 1) The question is: Is it dangerous to these figures for pregnancy and for the fetus, or better to terminate a pregnancy? Waiting for your reply

Answer: Sami hazard analysis did not bear. If pregnancy is desired, occurred and is proceeding well – visit the gynecologist and to clarify the situation with the activity of these infections. Direct testimony to the abortion of your results there. Sincerely, Zakharenko SM


Traveling with chickenpox

Question: Dear Doctor. I would be very grateful for your advice. The problem is this: Two days ago, went with my daughter (6 years) in the Doctor Hospital, and then along a corridor running around the girl dressed in pink spots, (later found out that she had a child. Garden chickenpox). It turns out that we have had contact with her. A whole family six days leave for Spain. Maybe that girl was no longer contagious, once her mother has led to a public place where they were pregnant and babies? Is it not supposed to hold it in quarantine? Worry about her daughter-if you suddenly have the road it turns out that she was getting what to do? THANKS in advance!

Answer: If the spots were pink, the more likely it traces after chickenpox. After the 5-th day from the appearance of the last podsypany man is almost non-contagious. The risk of contracting, in my opinion, if this interpretation of your meetings is minimal. To prevent possible to use acyclovir (valacyclovir), but then need a personal consultation with a children's infectious diseases. Sincerely, Zakharenko SM


Chickenpox and peel a small clarification

Question: Doctor, thank you for your reply. Still, I would like to clarify about this crust, because I'm afraid it macerate in order not to leave the new holes. It consists of many small scales. Many of them had recently set up on the spot breakaway dried brown blisters, and many of them cover the small neotpavshie prischiki. Natural Does this picture for chickenpox, and if so, how much time this crust pass by itself? Would not maceration to premature fall-out of the set prischikov and dimples? Thank you very much. Sincerely, Bolnoy27.

Answer: Usually, from the appearance of the first elements of the rash until the falling away of crusts is 2-3 weeks. all do not have to touch the crust. Especially large and dense you can try to soften. Sincerely, Zakharenko SM