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Doctor insights on: Pertussis Exposure To Pertussis Within 1 2 Weeks

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Is it safe to receive 6 rabies vaccinations within a month? Completed primary 4 shot series, now being given 2 more boosters for secondary bat exposure shortly after primary series finished, per this facilities infectious disease dr. recommendation.

Is it safe to receive 6 rabies vaccinations within a month? Completed primary 4 shot series, now being given 2 more boosters for secondary bat exposure shortly after primary series finished, per this facilities infectious disease dr. recommendation.

Shots: You're seeing an infectious disease specialist, someone with years of specialty training beyond a Medical School. Why would you seek opinion on this site from a urologist or an Orthodontist or a GP? If you do not have trust in your Specialists training and experience, seek 2nd opinion from a different infectious disease specialist. ...Read more

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Can the bordatella vaccine need boosted 3 weeks after the initial vaccine?

Can the bordatella vaccine need boosted 3 weeks after the initial vaccine?

NOT FOR HUMANS: Bordatella vaccine is not a vaccine for humans but for Dogs We do not answer questions about animal vaccines Ask your Vet ...Read more

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Would getting 40 mcg (two x 20 mcg) booster dose of hep. B vaccine likely prolong surface antigenemia longer compared to receiving only 20 mcg?

Would getting 40 mcg (two x 20 mcg) booster dose of hep. B vaccine likely prolong surface antigenemia longer compared to receiving only 20 mcg?

Possibly: The incidence of hbsag positivity after hbv vaccination with recombinant hbsag is low and depends on the assay being used. In one study, 5% of vaccinated blood donors tested positive one day later using 20 mg dose but negative at 3 days. They cited one example of a 40 mg recipient that was positive at 5 days. The recommendation is to delay blood donation up to one week after hbv vaccination. ...Read more

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How doctors explain the long incubation period (>1 year) of rabies , can pep vaccination still be effective after 9 months of possible exposure?

How doctors explain the long incubation period (>1 year) of rabies , can pep vaccination still be effective after 9 months of possible exposure?

Rabies is tricky: Rabies is known for a wide variation in the incubation period. The average is 3 weeks to 3 months for infection to take hold. About 5% of cases occur 1 year after exposure. The longest case on record is 19 years. Experts don't know exactly why this is-but it probably has to do with the virus strain, other viral properties, the patient (how strong their immune system is) etc. YES-I agree with PEP! ...Read more

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Full rabies PEP(w/immune glob) Fall '08. 2 booster doses Nov '14. What are the odds I would NOT have protective levels of antibodies now, 7 mo later?

Full rabies PEP(w/immune glob) Fall '08. 2 booster doses Nov '14. What are the odds I would NOT have protective levels of antibodies now, 7 mo later?

MINIMAL: The primary series is considered protective for at least 2 years .Those in trades with regular exposure are advised to check titers or get a booster after two years.If you received a booster 11/14 you should be protected for 2 years from that point. ...Read more

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22mo has fever,runnynose,cough. Hes gotten 4 doses of DTap,will he be affected by whooping cough if its wc? Will he infect 3 mo who got 1 dose of DTap

22mo has fever,runnynose,cough. Hes gotten 4 doses of DTap,will he be affected by whooping cough if its wc? Will he infect 3 mo who got 1 dose of DTap

Mgt: Your child can still have pertussis and if he does it is contagious. More likely if there is no distress, prolonged cough is that this is a viral illness. Testing may be sent by your PCP to confirm. ...Read more

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How soon after exposure to hep a, b, c would antibodies show up in blood? 3 months, 6 months...?

How soon after exposure to hep a, b, c would antibodies show up in blood? 3 months, 6 months...?

Viruses: Viral tests for antibodies to either of the three main hepatitis strains can take three months or more to show up. There are more expensive tests if your liver is in acute trouble and you are jaundiced. If you are in any way ill and/or have jaundiced you need to be seen by a trusted medical advisor. ...Read more

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4th dose of anti rabies vaccine received 2 hours later again exposure can 4th dose of rabies vaccine effective or vaccine another shot next day? again

4th dose of anti rabies vaccine received 2 hours later again exposure can 4th dose of rabies vaccine effective or vaccine another shot next day? again

NO: It is not enough to rely on a previous vaccine after exposure to rabies. There are specific protocols involved in the treatment after exposure and all require two or more doses of vaccine. ...Read more

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2 serious asthma attacks in last 4 weeks 2 weeks in hospital is it safe to give birth naturally 33 weeks at min?

2 serious asthma attacks in last 4 weeks 2 weeks in hospital is  it safe to  give birth naturally 33 weeks at min?

Get it controlled: You need to be under the care of an allergist or pulmonologist to assist in your asthma treatment as you get close to your delivery date. Spinal or general anesthesia may be more detrimental on your lung function. This needs to be looked at carefully and all options discussed. ...Read more

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Is a negative HIV person, diagnosed with low lymphocytes T4 and t8 cells, still able to produce HCV antibodies after 1 year of one possible exposure ?

Is a negative HIV person, diagnosed with low lymphocytes T4 and t8 cells, still able to produce HCV antibodies after 1 year of one possible exposure ?

Yes: Plenty of people naturally run relatively low lymphocytes, though it's good to try to find why. If this person isn't making antibodies after a year, consider yourself healthy, though if you or your physician are concerned, you can get a pcr for the virus. ...Read more

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I recieved 1 childhood varcella vaccine. But my labs show (-) VZV IgG = non immune. How is this possible as isn't vaccination previous exposure?

I recieved 1 childhood varcella vaccine. But my labs show (-) VZV IgG = non immune.  How is this possible as isn't vaccination previous exposure?

Not always effective: The varicella vaccine was approved initially as 1 dose in early childhood (>1 but <13) and 2 dose to teens or above. It is now suggested only as a 2 dose series, since about 15% will not develop long term antibodies with a single dose. Even with 2 doses, likely 5% will not. Natural varicella gives long term antibodies but no vaccine is perfect. ...Read more

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Allergies or HPV in throat? 24, HPV+, itchy throat for 2 weeks since temperatures outside rose. Diagnosed w/HPV 2 months ago.

Allergies or HPV in throat? 24, HPV+, itchy throat for 2 weeks since temperatures outside rose. Diagnosed w/HPV 2 months ago.

Impossible to say: If you have a specific concern, contact an ENT who can evaluate your nasal and oral cavity to see if HPV is an issue. The symptoms are too vague and may be produced by numerous issues. ...Read more

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Keep getting these recurrent yeast infection and painless ulcers under tongue possible hiv exposure 2 years ago took hiv test 3 weeks after exposure -?

Keep getting these recurrent yeast infection and painless ulcers under tongue possible hiv exposure 2 years ago took hiv test 3 weeks after exposure -?

HIV exposure: If the first HIV test was negative at 3 weeks, a 2nd test should be done 6 months after the last at risk exposure to be truly negative. Recurrent yeast infections indicate a repetitive change in the vaginal pH levels which can be due to harsh soaps, douches, frequent intercourse, etc. Have a MD reexamine the area and consider a longer term Rx if present. ( 1 to 2 weeks). ...Read more

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Can rubella vaccine cause viral mengitis 3 months later?

Can rubella vaccine cause viral mengitis 3 months later?

No: To my knowledge, this has never been reported. Possibly one of the other physicians on this panel may know otherwise. ...Read more

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Is boostrix effective immunity against tetnus if more than ten years have lapsed since the 4 doses of early childhood triple antigen vacinations.

Is boostrix effective immunity against tetnus if more than ten years have lapsed since the 4 doses of early childhood triple antigen vacinations.

Tetanus booster: Boostrix is an appropriate vaccine to administer one time after the primary pediatric series is complete. It is reported to be Category C for administration during pregnancy, but can be administered to pregnant women after 20 weeks. ...Read more

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Lab range for HCG values on report states gestational age 0.2-1 week expected range 50 -500, 1-2 weeks 100-5000, 3-4 weeks 500-10000. Is this fetus age not gestational (ieLMP dated) age given first 2 wks are leading up to ovulation ie no HCG produced?

Lab range for HCG values on report states gestational age 0.2-1 week expected range 50 -500, 1-2 weeks 100-5000, 3-4 weeks 500-10000. Is this fetus age not gestational (ieLMP dated) age given first 2 wks are leading up to ovulation ie no HCG produced?

Fetal or embryo age: Because there is is no fetus until 2 weeks into a pregnancy (yes, it's an odd but standard way of counting dates), there is no bHCG until after 2 weeks gestational age. Also, the bHCG is not detectable until implantation, because the bHCG needs to be able to get from the embryo into the uterine lining, into the mother's circulation, into the mother's blood or urine sample. ...Read more