Doctor insights on:
history of sinus infections +dx of UCTD. Recent sinus cultures positive atypical bacteria (Serratia marcescens +Stenotrophomonasmaltophilia - Why?
ID physician: S maltophilia is an organism of low virulence and frequently colonizes fluids used in the hospital setting and patient cultures. Serratia species are opportunistic gram-negative bacteria that are widespread in the environment. And something is definitely wrong here...unless your on say prednisone (for MCTD) and didn't mention this. You should see an infectious disease physician ASAP. ...Read more
The germ: Some group A strep germs carry an extra piece of genetic code that triggers a toxin that can cause the rash. If someone has a strep infection in their throat it usually shows up within 12 hrs of the first fever. If the infection is treated very early, it may not show up at all. A strep germ without the extra gene will not trigger the rash. Scarlet fever is an old term used back before penicillin. ...Read moreSee 2 more doctor answers
Depend how often: If you have only had one episode then that is no reason to have your tonsils out. Typically this is what i'm thinking about taking out tonsils for infection we use the following: seven infections in one year or four infections a year for two years or three infections a year for three years. Of course if you have airway blockage because your tonsils are so big or chronic discharge that can cause opinions about tonsillectomy to change. ...Read more
Location is issue.: Dengue is most common in tropical & sub-tropical areas of Africa, South-east Asia, the Western Pacific, Eastern Mediterranean & the Americas. See: http://www.cdc.gov/dengue/epidemiology/ ...Read more
Sore throat/slightly blocked nose/headache. Throat culture says: Streptoccus viridans (moderate growth), no pathogenic organisms found. what to do?
M28, fever 101f, wbc10.5, platelets 143, haemoglobin 13.6, hematocrit 41.1%, ESR 31, cough, phelgem, sinus. Is this viral or bacterial, cefixime 400mg/d ok?
Sounds viral: Avoid antibiotics unless proof of bacterial infection. ...Read more
6 yo w/ seborrheic dermatitis, eczema, CMV igg+, URI july/mid aug, dental treat. In sept. Palpable nodes bilateral up to 1.7cm. Us=reactive. Normal?
Yellow Blisters back of throat >1 year.
All tests negative
Throat cultures clean
Allergy related: Probably this is "cobblestoning," which is the finding of streaks of lymphoid tissue on the posterior pharynx (back of the throat). It's caused by chronic allergy type symptoms. A doctor should be able to confirm that with a look in the back of the throat. If your allergies are bad, there are various treatments that may help, such as antihistamines or even immunotherapy. Try an allergist if needed ...Read more
26, male, south indian.74 kgs.History of lymph TB 2 years ago.Currently diagnosed with pharyngal gonorrea.High uric acid and testosterone.Low vit d?
The question is....?: Is there a question in there?Get a more detailed answer ›
Lump in throat for 2 weeks, history of GERD. Also have viral illness. How do u tell the diff btwn viral-related lump feeling & GERD-related? Cancer?
Globus sensation?: Do you experience the feeling of a ball or lump in the back of your throat that you have to swallow past? If so, this is "globus." Alternatively, you may have laryngo-esophaeal reflux without heartburn. Sometimes, the actual swallowing mechanism may be impaired due to "spasms," dysmotility, or inflammation. A gastroenterologist or ear-nose-throat specialist is a good starting point for evaluation ...Read more
My throat culture & sensitivity c/s report says "organism: moderate growth streptococcus viridans group" is this normal, i've white coating on tongue?
Possible fungal...: Overgrowth. If you have cultures, you are probably already on an antibiotic for something. S. Viridens is a common oral bacteria that we all have on some level. Yours may be higher than normal but the white on your tongue could be candidiasis from a lack of "regular" bacteria that keep it down. Try 1/2 hydrogen peroxide/ 1/2 or mouthwash, brush your tongue, if no luck see a dr. May need nystatin. ...Read moreSee 1 more doctor answer
How will a doctor differentiate viral respiratory infection from bacterial infection? Signs are fever cough congestion, no sore throat - 4 days.
Usually easy: Normal w/ viral uri's to have a temp up to 72 hrs. If u have sore throat it's very unlikely to be strep when u also have cough/congestion (not always the case with kids). Flu is peaking now (in us) classic symptoms are high temp congestion, body aches, +\-sore throat or cough. If u r feeling unusually ill or measured temp exceeds 3 days u should be seen (sooner if u have chronic health cond. ...Read moreSee 1 more doctor answer
Non viral causes of high monocytes 16%? 4 y/o w/Symptoms: recurring fever, cyanosis, joint pain, no appetite, swollen lymph nodes. FH of JRA & Lupus.
Antivirals: There are antiviral medications available for some forms of infection. Hepatitis b and c, HIV disease, influenza, herpes simplex and several others. For the average common cold there is nothing but symptomatic relief available. Take Acetaminophen (tylenol), decongestants, etc. There are many otc products and your friendly pharmacist will be happy to guide you to the best. ...Read more
Pharyngitis means: Inflammation of the pharynx, just like appendicitis means inflammation of the appendix or cholecystitis is inflammation of the gallbladder. "sore throat" is pretty general, and even as lay terminology could imply a viral pharyngitis or a strep bacterial pharyngitis. You could even have a mechanical pharyngitis from screaming at a sports event, for example. Hope this helps! ...Read more
How can you differentiate laryngitis, pharyngitis and tonsillitis based on physical manifestations?
Nice question: "itis-" means inflammation. Laryngitis is inflammation of larynx, hoarseness/voice changes would be major symptom. Pharyngitis is inflammation of throat, pain & difficulty swallowing are symptoms. Tonsillitis is inflammation of tonsils manifesting as sore throat, fever or neck/ear pain. Most common cause for all 3 is viral infection. Strep can cause tonsillitis & pharyngits but not laryngitis. ...Read more
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