Is it necessary for me to see an infectious disease specialist after having lung surgery for histoplasmosis?
Yes. Most of the time histoplasmosis is self limited (meaning it will go away on its own). If you have underlying lung disease or are on immunesuppressants (organ transplant patient, rheumatoid arthritis patient, etc) it may be necessary to take an antifungal called itraconazole (sporonox) for a period of time (usually 30-90 days). A consult with an id specialist is very reasonable.
Good Idea. It would be a good idea to see an infectious disease specialist to determine if you have residual pulmonary histoplasmosis that needs medical treatment and to be sure the disease has not spread outside the lungs.
Was it active? If you had an old histoplasmosis granuloma removed, and it was inactive, you probably need nothing more than follow-up by your personal physician. If you had biopsy to confirm active histoplasmosis, then you have probably been evaluated by a few specialists already.
It depends. Most commonly the infection happened in the past and there is no role for active treatments. However, if surgery was done for diagnosis of acute or subacute histoplasmosis, then anti fungal therapy is warranted and you should see an infectious disease specialist.
Should a patient with a history of ER visits with episodes diagnosed as or resembling sirs, as shown on profile, see an infectious disease specialist due to history? Or wait until next ER visit?
Best Medicine. The emergency room is the worst place to get ongoing medical care for a chronic problem. You want someone to know your whole history and all of the testing and treatments you have had. The er is designed for acute problems and is not a good place to return to for primary care of a condition. Please get to the infectious disease specialist or your family doctor.
Neither. Sirs isn't really a diagnosis. It's a collection of abnormalities on exam and lab studies. It could be a sign of infection, and in the hospital that's what we are trying to find. I'm guessing that they've never found one. We also see sirs criteria met by patients with other types of diseases, especially rheumatological diseases. You listed some abnormal rheum labs. ..May need rheum doc.
UTI symptoms every 2 months w/no bacteria. 2 docs said see infectious disease specialist. 1 said if no bacteria no need for ID specialist? Confused.
I agree. With your assessment. You should consult a urologist orcurogynecologist. They can look for other causes besides infection.
As below. Id specialists are trained in various infections, usage of antibiotics, antivirals, antifungals, sepsis etc. Including hiv, aids.
All infections. An id specialist treats all infections caused by micro-organisms including viruses, bacteria, fungi, protozoa and parasites. We treat infections of every organ of the body. Examples include pneumonia, pyelonephritis (kidney infection), osteomyelitis (bone infections), hiv/aids, meningitis, amoebic dysentery etc. Etc.
If you have ppo insurance, do you still have to be "referred" to an infectious disease specialist by your dr?
Maybe. Most ppo do not require a referral to see a specialist (called self-referral). That said, most infectious disease specialist will not accept patients unless they have been referred by a primary care physician with the exception of a recent positive result on a home HIV test. Most ia physicians are very busy & it is hard to get an appointment without a physician referral.
NOT Usually... Ppo is an organization of "preferred providers" that the insurance plan has selected and contracted with that usually do not require a referral. But it is always a good idea to include your primary care physician in the loop.
Not necessarily. Any primary care doctor should be able to help you. But it is better to go to a local health department, they may have all vaccinations, depending on the country you are traveling to.
Yes. If an id specialist runs a travel clinic they can handle all your recommended travel vaccinations.
General Doctor is sending me to an infectious disease specialist, for getting swollen lymphnode and sick a lot... What will they be looking for? Hiv?
Yes. And other conditions too affectting your immune system. Screening / diagnosing HIV infection isn't a problem nowadays, hope you don't have it if you don't have the risk factors. Other common possibility is chronic infectious mononucleosis, uncommon, but need to be ruled out, a more detailed analysis of your immune system after more history and physical examination would be carried out, goodluck.
Yes, also... Yes, they will look for HIV and other chronic infections such as Lyme disease. They may also look for conditions like immunoglobulin deficiencies. You may also have nutrient deficiencies; you are likely deficient in Vit D unless you take it. All adults should take about 5000 iu of D3/day in fall & winter. Take a quality multivitamin and eat a healthy diet, minimize sugars and junk food. Good luck!
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease, raynauds?
No. These are generally dealt with by rheumatologists. Good luck.
I'll b going to many diff. Countries & need lots of vaccines. Is it better 2 get them from an immunologist, infectious disease specialist, or PCP (IM)?
MD-travel vaccines. You'd be best served by seeing a doctor that indicates an interest in travel vaccines. The vaccines need to be specially ordered and those doctors who give them regularly will have the knowledge and the availability Have a safe and enjoyable trip.
ID. Evaluates & treats people with infectious diseases.
Treats infections. An id specialist treats all infections caused by micro-organisms including viruses, bacteria, fungi, protozoa and parasites. We treat infections of every organ of the body. Examples include pneumonia, pyelonephritis (kidney infection), osteomyelitis (bone infections), hiv/aids, meningitis, amoebic dysentery etc. Etc. Some id docs mainly do hospital consultations while some have office practices.