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Board: Infectious Diseases 12-04-2010, 02:15 PM
Replies: 8
Views: 2,826
Posted By harka
Re: Solitary pulmonary nodule

Yes fevers, chills and sweats can be a symptom of cancer, BUT, just because you have them doesn't mean you have cancer. If your pulmonary nodule is otherwise stable for a long time, it probably...
Board: Infectious Diseases 12-04-2010, 06:08 AM
Replies: 3
Views: 1,156
Posted By harka
Re: Cholera

This is very difficult to answer because it all depends on the person's previous health history, age, and when you say shock, to what degree the shock is....i.e. did the person have multi-organ...
Board: Infectious Diseases 12-04-2010, 06:06 AM
Replies: 8
Views: 2,826
Posted By harka
Re: Solitary pulmonary nodule

That's great news that it's not cancer!! Those GMS and PAS are just fancy words for stains which are good for picking up fungi on microscopic specimens. Did your doctor tell you the name of the...
Board: Epstein Barr Virus (EBV) 12-02-2010, 07:43 AM
Replies: 27
Views: 19,298
Posted By harka
Re: EBV, CFIDS, Mono and more

Q1 So does Mono activate Epstein Barr Virus (EBV)? Or does EBV leave one prone to get Mono?

Mononucleosis is a syndrome characterized by fatigue, enlarged lymph glands in the body (especially the...
Board: Infectious Diseases 12-02-2010, 07:32 AM
Replies: 8
Views: 2,826
Posted By harka
Re: Solitary pulmonary nodule

Candylady,

A necrotizing granuloma is a "good" thing as far as solitary pulmonary nodules go because it's almost certainly not cancer, and more likely it's secondary to an infection that can be...
Board: Infectious Diseases 11-10-2010, 10:05 AM
Replies: 2
Fuo
Views: 1,572
Posted By harka
Re: Fuo

Hi there,

99 and 100 aren't really fever...have you had any temperatures higher than that? Any other symptoms such as night sweats or weight loss? I know many patients say that "Well that's a...
Board: Infectious Diseases 11-01-2010, 04:14 AM
Replies: 14
Views: 10,379
Posted By harka
Re: Is this MRSA that wasn't properly identified/treated?

Enigmatics,

The problem unfortunately with your situation is that, it is very unlikely that you have an infection that has been going on for five years. It sounds like you did have an oral...
Board: Infectious Diseases 10-06-2010, 07:17 PM
Replies: 2
Views: 1,621
Posted By harka
Re: Infectious disease Physician

I'm not sure if you meant to write that you are NOT symptomatic, but yeah, if you have no symptoms there is no need to do anything. In fact, using antibiotics over and over again will simply make...
Board: Hair Loss / Alopecia 10-04-2010, 08:38 PM
Replies: 2
Views: 1,298
Posted By harka
Re: Hair Loss

When you say "unprotected sex" was it a high risk encounter? i.e. with another man? The reason I ask is because secondary syphilis is known to present in the spirochetemic stage (i.e. when there is...
Board: Infectious Diseases 09-24-2010, 03:19 PM
Replies: 1
Views: 2,702
Posted By harka
Re: Mrsa & copd

Hi there,

First of all "having MRSA" isn't really a condition per se. If she has an active MRSA infection (like an active pneumonia or an active bone infection etc.) then that's a problem. ...
Board: Infectious Diseases 09-23-2010, 06:58 AM
Replies: 1
Views: 3,475
Posted By harka
Re: does rabies vaccine harm human liver ?

The rabies vaccine is not known to harm the liver. The only vaccine that can potentially harm the liver is the yellow fever vaccine. Vaccines in general are killed vaccines or else are not even...
Board: Infectious Diseases 08-27-2010, 10:16 AM
Replies: 4
Views: 19,778
Posted By harka
Re: MRSA in the bone

Hi again,

Unfortuantely, the occurrence of variceal bleeding necessitating TIPS is not a good sign. TIPS is a temporary, NON-curative procedure which works to reduce pressure on esophageal...
Board: Infectious Diseases 08-26-2010, 08:39 AM
Replies: 2
Views: 3,964
Posted By harka
Re: Chances of MSSA recurring

Hi there, it's been quite a difficult year for you! I'm sorry you've had to go through that.

It's difficult to give percentages in this situation, but this situation has less to do with MSSA than...
Board: Infectious Diseases 08-26-2010, 08:33 AM
Replies: 1
Views: 4,134
Posted By harka
Re: gang green fingers fasciotomy

Hi there, I am very sorry this is happening to you. I'm not completely sure what is going on, but I can tell you that if this happened as quickly as you describe, it was not alprazolam (Xanax) they...
Board: Infectious Diseases 08-26-2010, 08:30 AM
Replies: 4
Views: 19,778
Posted By harka
Re: MRSA in the bone

Hi there, I'm sorry your ex has been going through so much trouble.

First of all, I just wanted to point out that you seem to have a little bit of a misconception about MRSA. MRSA is simply a...
Board: Infectious Diseases 08-18-2010, 10:33 PM
Replies: 2
Views: 2,747
Posted By harka
Re: Endocarditis Questions

Hi there,

I'm sorry to hear your friend had endocarditis. It sounds like she was able to be treated with antibiotics alone, which in itself is a very good sign. Endocarditis, can be caused by...
Board: Infectious Diseases 08-08-2010, 05:23 PM
Replies: 5
Views: 12,579
Posted By harka
Re: Mssa or Mrsa misdiagnosed?

It's really hard to sort out what's going on by taking a swab of the area because undoubtedly the swab will be contaminated with the normal Staphylococcus which is growing on your scalp. It also...
Board: Infectious Diseases 08-08-2010, 05:16 PM
Replies: 2
Views: 2,169
Posted By harka
Re: Chronic Q Fever

Hi Wildhorse,

Q-fever is a small bacterium which belongs to the Rickettsia family which is known as Coxiella burnetti. It is considered a "zoonosis" in that it is an infection which humans...
Board: Infectious Diseases 08-03-2010, 11:03 AM
Replies: 1
Views: 4,267
Posted By harka
Re: how contagious tonsilitis is if you are on antibiotics.

Probably still contagious because tonsillitis is almost always caused by a virus, which of course is not susceptible to antibiotics. If it truly is a culture proven strep throat.....in terms of...
Board: Infectious Diseases 07-29-2010, 02:37 PM
Replies: 49
Views: 182,689
Posted By harka
Re: Recurring Staph Infection

fxp, do you have any dogs or cats?
Board: Autoimmune Disorders 07-29-2010, 09:51 AM
Replies: 5
Views: 12,840
Posted By harka
Re: CA-MRSA (Need help, something!)

Does it sound like a pilonidal cyst or a MRSA infection?
*****You can't really tell from just describing it. And a pilonidal cyst CAN be secondary to MRSA. Pilonidal cyst is a type of infection,...
Board: Rare Disorders 07-25-2010, 03:07 PM
Replies: 5
Views: 3,701
Posted By harka
Re: Amyloidosis of the heart

Hi Bracelet,

I'm reading this a little late, but I'm still wanting to know how things went for your dad. How are you and your family holding up?

Amyloidosis is a strange disease and it can be...
Board: Infectious Diseases 07-23-2010, 09:27 AM
Replies: 4
Views: 2,712
Posted By harka
Re: Entrococcus in Prostate

If he is having absolutely no symptoms, there is no indication for treatment. Many older men have evidence of enterococcus in the urine that is asymptomatic--that is normal and does not warrant...
Board: Mononucleosis 07-22-2010, 05:19 AM
Replies: 6
Views: 9,123
Posted By harka
Re: Distinguishing a Lengthly Mononucleosis Convalescence from a CFS diagnosis

You're completely right--it could be viral yet undiscovered, but at present there is no convincing evidence of this happening. The paper by Lombardi which was published in science about XMRV...
Board: Infectious Diseases 07-21-2010, 05:46 PM
Replies: 3
Views: 5,296
Posted By harka
Re: scrofula/lymphatic TB

Definitely....genitourinary tract TB can FOR SURE happen, though the most common place for it to happen when it's there is in the kidney and the urinary collection system. Unfortunately, given our...
Board: Swine Flu (H1N1) 07-21-2010, 05:23 PM
Replies: 21
Views: 25,470
Posted By harka
Re: H1n1, pneumonia, and ards

I am a health professional yes! By board rules I don't think I can identify what I do, but let's just say I have a "strong tie" with diseases of an infectious nature :)
Board: Infectious Diseases 07-21-2010, 05:21 PM
Replies: 3
Views: 5,296
Posted By harka
Re: scrofula/lymphatic TB

Hi Ashley!

You've had quite an ordeal this past year eh? So yes, sounds like you have TB lymphadenitis, though technically since your skin didn't bust open and start draining pus, it's...
Board: Swine Flu (H1N1) 07-21-2010, 07:04 AM
Replies: 21
Views: 25,470
Posted By harka
Re: H1n1, pneumonia, and ards

Again Linka, I'm very very sorry this had to happen to you.

H1N1 was not diagnosed by a blood test--it was a PCR that was done from a nasopharyngeal swab (or off a bronchoalveolar lavage). ...
Board: Swine Flu (H1N1) 07-20-2010, 04:33 PM
Replies: 21
Views: 25,470
Posted By harka
Re: H1n1, pneumonia, and ards

This is the thing that scared me about the pandemic H1N1....there was no way to predict from a clinical standpoint who would get ARDS and who wouldn't. There were tons of young people who felt...
Board: Rare Disorders 07-20-2010, 07:12 AM
Replies: 1
Views: 2,139
Posted By harka
Re: Churg-Strauss Syndrome, Polyarteritis

Hi Anjali,

I don't myself have vasculitis but have worked with many people that do. Why was vasculitis first diagnosed in you?

Churg-Strauss is a perinuclear-ANCA positive vasculitis which...
Board: Rare Disorders 07-20-2010, 07:07 AM
Replies: 3
Views: 1,972
Posted By harka
Re: red hot ears

Do your ears get painful when this happens?
Board: Infectious Diseases 07-18-2010, 07:55 PM
Replies: 3
Views: 12,766
Posted By harka
Re: Child diagnosed with strep in bloodstream.

Hi there!

So obviously it's not normal to have Streptococcus in the bloodstream, but it all depends on where the Strep came from and what type of Strep it is. Your son doesn't necessarily need an...
Board: Infectious Diseases 07-15-2010, 02:57 PM
Replies: 1
Views: 6,885
Posted By harka
Re: can't get rid of cellulites!

This is what infectious diseases doctors refer to as "keflex negative cellulitis". In other words, the fact that it's gone on this long means it's likely not an infection.

The most accurate way...
Board: Infectious Diseases 07-09-2010, 01:37 PM
Replies: 1
Views: 1,444
Posted By harka
Re: Undiagosed illness please help

Sounds like your mom may have an immune defect, though it's weird that it's presenting so late. There are certain immune defects which can result in chronic skin infections such as Job's (Hyper IgE)...
Board: Amputation / Prosthetic 07-09-2010, 03:57 AM
Replies: 2
Views: 5,049
Posted By harka
Re: Osteomyelitis & Foot Amputation - Pending

Hi there,

I'm sorry to hear your mother has been having so much trouble. Amputations as a result of osteomyelitis are generally seen in patients who either have vascular insufficiency (the...
Board: Infectious Diseases 06-24-2010, 10:10 AM
Replies: 2
Views: 4,127
Posted By harka
Re: Chills without Fever for a month + soar throat

Your symptoms are fairly non-specifc, and the CBC is not going to help really--even if it's normal. Your doctor could test you for EBV induced mono, but I'll bet your symptoms will just go away on...
Board: Infectious Diseases 06-24-2010, 10:08 AM
Replies: 1
Views: 1,359
Posted By harka
Re: Mrsa

MRSA is not a disease. MRSA stands for methicillin resistant Staphylococcus aureus and refers to bacteria living on one's skin. Normal skin has bacteria which lives on it and doesn't cause any...
Board: Infectious Diseases 06-23-2010, 10:08 AM
Replies: 5
Views: 3,803
Posted By harka
Re: Creek Water

I just wanted to add something: in general, uncomplicated skin infections are caused by gram POSITIVE organisms (like Streptococcus and Staphylococcus) which normally live on our skin and don't...
Board: Infectious Diseases 06-05-2010, 11:54 PM
Replies: 2
Views: 4,174
Posted By harka
Re: Staph Infection.....Septic Emboli....Need Help

Hi 14sally,

You've been through a lot! I really hope you feel better soon. Which antibiotics have you been treated with? Why do you think you have septic emboli? Usually with Staphylococcus...
Board: Infectious Diseases 05-25-2010, 03:04 PM
Replies: 1
Views: 9,562
Posted By harka
Re: E-Coli in Blood & Urine

Hi there,

I'm very sorry to hear about your husband. E. coli is a bacteria which is mostly found in our GI tracts and large amounts of it are excreted with the stool every day. On a regular day,...
Board: Infectious Diseases 05-06-2010, 07:21 AM
Replies: 1
Views: 2,553
Posted By harka
Re: 2 yrs.. post-mrsa

Hi there,

I'm sorry you had to go through that situation. It must've been tough for you. I wish the nurse had explained what she was doing so you didn't feel so alienated.

The truth is, due...
Board: Infectious Diseases 05-03-2010, 03:21 PM
Replies: 1
Views: 1,059
Posted By harka
Board: Rare Disorders 04-28-2010, 08:14 AM
Replies: 7
Views: 10,846
Posted By harka
Re: Sever Pain In Left Ear Cartilage

Well, you're right that it's a clinical diagnosis (i.e. not necessarily any comfirmatory tests), but it isn't just a fancy name given to degeneration of cartilage. There is a clinicopathologic...
Board: Rare Disorders 04-27-2010, 09:30 PM
Replies: 7
Views: 10,846
Posted By harka
Re: Sever Pain In Left Ear Cartilage

Has anyone ever thought about the diagnosis of relapsing polychondritis in you people?
Board: Infectious Diseases 04-26-2010, 04:21 PM
Replies: 4
Views: 3,957
Posted By harka
Re: For those of you with repeated MRSA

Generally decolonization protocol is:

Chlohexidine 2% body washes daily for 1 week
Mupirocin nasal ointment three times a day for 1 week
Sometimes triclosan shampoo on day 4 of protocol (only...
Board: Infectious Diseases 04-26-2010, 09:03 AM
Replies: 1
Views: 21,334
Posted By harka
Re: abcessed tooth infection went into Central Nervous System

Hi Liz,

I'm sorry you've been feeling so unwell, but I'm glad that things are starting to look up. First off, you're right, long lasting dental infections can have complications and one of those...
Board: Infectious Diseases 04-19-2010, 04:55 PM
Replies: 1
aso
Views: 1,109
Posted By harka
Re: aso

It's difficult to know. Are your ASO titres persistently high?
Board: Infectious Diseases 04-14-2010, 07:06 AM
Replies: 6
Views: 2,922
Posted By harka
Re: could a dull ache and tight shakiness in arm be infectious?

Hey there,

Sounds like you do a lot of lifting and using that right arm, so that may just be the cause.

Re: your last comment about lifting your arm up over your head: those types of patterns...
Board: Infectious Diseases 04-14-2010, 06:28 AM
Replies: 6
Views: 2,922
Posted By harka
Re: could a dull ache and tight shakiness in arm be infectious?

Hey there,

Doesn't sound too infectious in the absence of other signs more associated with infection. There are certain toxins from bacteria such as Clostridium tetani which can cause nerve...
Board: Mononucleosis 04-11-2010, 04:36 PM
Replies: 6
Views: 9,123
Posted By harka
Re: Distinguishing a Lengthly Mononucleosis Convalescence from a CFS diagnosis

As it is, CFS is a dubious diagnosis with poorly defined criteria with a lot of heterogeneity. People have tried to link it to EBV infection in the past, but there isn't a strong link. Whether they...
Showing results 1 to 50 of 500

 








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