Infectious disease, Internal Medicine FAQ - Page 13

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Understanding Low Neutrophil and High Lymphocyte Levels in Blood Tests

Blood Test Report The report indicates that the neutrophil percentage is 35.8%, which is low, and the lymphocyte percentage is 54.6%, which is high. These findings could suggest an underlying issue. A low neutrophil count (neutropenia) may increase the risk of infections, as neut...


Dr. Lin Wuxuan Reply:
Hello: The interpretation of blood test reports requires the complete report, so the physician will still need your white blood cell count report and the complete differential white blood cell count. Although your inquiry lacks sufficient details, generally speaking, a decrease i...

[Read More] Understanding Low Neutrophil and High Lymphocyte Levels in Blood Tests


Could Your Symptoms Indicate Ankylosing Spondylitis?

What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....

[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?


Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms

Post-PEP Testing Hello Dr. Liao, I engaged in sexual activities on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. There were around 10 thrusts, but the condom was not fitted properly. When I wit...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the topic of body temperature fluctuations and sweating after fever, here is the response: A: 1. If prophylactic treatment (PEP) was initiated within 66 hours and completed a 4-week course on April 16, you should be able to feel reassured. 2. Since the w...

[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms


Understanding Post-Exposure Prophylaxis (PEP) Testing and Results

Post-PEP Testing Hello Dr. Hong, I engaged in sexual activity on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. During the intercourse, the condom did not fit well, and upon withdrawal, only the...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you have completed PEP and subsequent tests have returned negative. Unless you have had further relevant exposure, the likelihood of contracting HIV is indeed very low. As for the symptoms you later described, such as fever, night sweats, and dia...

[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Results


Deep Kissing and HIV Risks: What You Need to Know

Deep kissing and HIV? Recently, I had a deep kiss with a woman I just met, and at that time, I had a sore in my mouth (which is healing). I have been taking immunosuppressive medication for a long time. Should I be concerned about contracting HIV or other infectious diseases, and...


Dr. Hong Yuanbin Reply:
Hello, unless the other person's mouth is bleeding and the blood comes into contact with your wound, there is a possibility of infection. If it is just saliva contact, the risk of infection is very low. However, if you are feeling unwell or still have concerns, you can go to...

[Read More] Deep Kissing and HIV Risks: What You Need to Know


Measles Vaccine Concerns: Risks for Young Adults and Hospital Visits

Measles vaccine Hello, doctor. Recently, the measles outbreak has caused public panic, and young adults in their 20s have been identified as a high-risk group. However, the Ministry of Health and Welfare has urged that vaccines be prioritized for frontline healthcare workers and ...


Dr. Liao Zhongxin Reply:
Dear readers, In response to the sudden increase in demand for the self-paid MMR vaccine, the Centers for Disease Control (CDC) has urged prioritization of vaccination for high-risk groups (CDC Circular No. 351, April 24, 2018). 1. Due to recent public concern regarding the me...

[Read More] Measles Vaccine Concerns: Risks for Young Adults and Hospital Visits


Understanding Lower Abdominal Pain: When to Seek Medical Attention

Lower abdominal pain? Hello doctor, I recently had sexual intercourse with my husband, and the next day I experienced severe abdominal pain. I couldn't exert myself at all, and walking would suddenly cause pain. I've also noticed an increase in the frequency of urinatio...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that there is a higher likelihood of a urinary tract infection; however, gynecological issues cannot be ruled out, such as a ruptured corpus luteum. It is advisable to consult with an infectious disease specialist, nephrologist, or urolo...

[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Attention


Is Orchitis a Symptom of HIV? Understanding the Connection

Is orchitis a symptom of HIV? I went to Japan in mid-December last year and had sexual intercourse with a sex worker, during which we used condoms. However, I performed oral sex on her, and at that time, I had a small cut on my lip measuring 0.1 x 0.1 cm. After returning to Taiwa...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Based on the above description, you may refer to the article: http://sdact.tand.org.tw/issue/issue_info.asp?issue_id=1602. All sexually transmitted infections can be transmitted through unsafe sexual practices (without using condoms). It is recommended to consult...

[Read More] Is Orchitis a Symptom of HIV? Understanding the Connection


Understanding Unusually Slow Recovery from Cold Symptoms

The recovery from a cold is slower than usual? I usually have nasal allergies, often experiencing nasal congestion and runny nose. Besides that, I rarely catch colds and do not take any medications regularly. Initially, one morning I woke up with sudden pain near my tonsils, and ...


Dr. Liao Zhongxin Reply:
Dear readers: <Regarding whether there is insufficient immunity or other underlying conditions? How to check and improve?> A: 1. You can refer to the following website: https://www.femh.org.tw/epaperadmin/viewarticle.aspx?ID=49672. It is recommended to maintain a regular ro...

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Understanding HIV Transmission Risks in Sports and Everyday Situations

Several questions regarding HIV transmission? 1. Hello, doctor. I have a few questions. First, are there any documented cases in medical history where HIV was transmitted through playing basketball? Since basketball is a contact sport, there can be minor injuries during the game,...


Dr. Xiao Yongxun Reply:
Dear Inquirer: 1. The HIV virus is primarily transmitted through blood or serum; however, for successful transmission to occur, the virus must be intact and present in sufficient quantities. Additionally, the infected individual's wound must come into contact with the viru...

[Read More] Understanding HIV Transmission Risks in Sports and Everyday Situations


Unexplained Redness and Swelling in the Foot: Seeking Answers

Unexplained redness and swelling of the foot? At the end of the text, there are images. Since there is a lot of text, I will summarize the key points first: From this past Monday (12/18) to yesterday (12/23), I have been taking antibiotics for five days. The wound does not feel s...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the issue of "unexplained redness and swelling in the foot," here is the response: A: 1. You are a very attentive and patient person; it is rare for someone to keep such detailed records of their medical history. 2. The progression of the wound ...

[Read More] Unexplained Redness and Swelling in the Foot: Seeking Answers


Can I Rule Out Infection After Multiple Negative Tests?

Will there be a turnaround? Doctor, I had a high-risk exposure on October 7th. I took an RTPCR test on October 18th and November 9th, and I also had P24 antigen and antibody tests done at 10 days, 33 days, 4 weeks, 6 weeks, 8 weeks, and 10 weeks, all of which were negative. I hav...


Dr. Xiao Yongxun Reply:
Dear Mr. Akai: 1. Your question was already addressed on December 4, 2017. In addition to considering HIV, there are many other potential diagnoses that need to be clarified regarding your symptoms of fever, lymphadenopathy, and diarrhea in order to provide appropriate treatmen...

[Read More] Can I Rule Out Infection After Multiple Negative Tests?


Understanding Persistent Low-Grade Fever: Possible Causes and Concerns

Unexplained fever with persistent low-grade fever? Hello doctor, I had a herpes outbreak on my lips before December 2nd. On December 1st, I accidentally ingested water from a drainage ditch and kitchen waste. From December 2nd to December 14th, I started experiencing fever, with ...


Dr. Hong Yuanbin Reply:
Hello, since I cannot see the condition of your blisters, I cannot make a clear assessment. However, based on your description, it is most likely a herpes infection. This is primarily transmitted through contact and should not be directly related to drinking contaminated water; i...

[Read More] Understanding Persistent Low-Grade Fever: Possible Causes and Concerns


Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis

Can it be confirmed or not? Doctor, I am from Tainan. On October 7th, I was at high risk. On October 14th, I experienced abdominal pain and diarrhea. On October 18th, I went to a testing facility for an RTPCR test (negative), and the P24 test was also (negative). On November 2nd,...


Dr. Xiao Yongxun Reply:
Dear Mr. A-Kai: 1. HIV RT-PCR is primarily used in the early stages of HIV infection, approximately around 7 days post-exposure. If infection has occurred, the viral load is very low, so PCR is utilized in the laboratory to amplify the viral quantity, allowing for the detection ...

[Read More] Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis


Can You Get Parasitic Infections from Handling Water Plants?

Parasitic infection issues? Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...

[Read More] Can You Get Parasitic Infections from Handling Water Plants?


Understanding Tonsil Swelling: Causes and Treatment Options

Swelling near the tonsils? About a month ago, I felt a sensation of something stuck in my throat. I visited an otolaryngologist two or three times, but the feeling of a foreign body has not disappeared. Recently, I noticed a very large mass on my tonsil that is not painful, but t...


Dr. Liao Zhongxin Reply:
Dear readers: 1. It is recommended to first follow up with an otolaryngologist. 2. If you experience fever or sore throat, please consult an infectious disease specialist for further evaluation. Thank you!

[Read More] Understanding Tonsil Swelling: Causes and Treatment Options


Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits

Pneumonia Hello, doctor... My mother is 60 years old! She initially sought treatment at a clinic for a urinary tract infection but only received injections and medication without improvement for about ten days. She then started experiencing high fevers around 39 to 40 degrees Cel...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your mother's condition may have worsened. If she is feeling very unwell, it is advisable to seek emergency care. Regarding her lung condition, it appears to be quite complex and may involve atypical pathogens or inflammation c...

[Read More] Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits


Bat Encounter: Understanding Neurological Symptoms and Rabies Concerns

Hit by a bat? Last month, on June 18, I was riding my scooter and got hit by a bat. When I got home, I immediately checked myself in the mirror because I remembered it hitting my face, but it seemed like there were no bites or scratches, and no wounds. However, for the past week ...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the incident of being hit by a bat while riding a motorcycle, here is the response: 1. Hendra virus infection was first identified in Hendra, Australia in 1994, and Nipah virus infection was discovered in 1999 in the village of Sungai Nipah, Malaysia. ...

[Read More] Bat Encounter: Understanding Neurological Symptoms and Rabies Concerns


Understanding the Right Specialists for Bacteremia and Spinal Abscess

For bacteremia and spinal abscess, you should consult an infectious disease specialist and a neurosurgeon? Hello, my father is 60 years old. He was previously hospitalized due to poorly controlled diabetes and was found to have Salmonella in his bloodstream, for which he received...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding chromium niacin at levels up to 600μg, the side effects of excessive intake are as follows: 1. Skin flushing and itching. 2. Elevated serum uric acid levels. 3. Impaired glucose tolerance. 4. Liver damage. Regarding the presence of Salmonella in the ...

[Read More] Understanding the Right Specialists for Bacteremia and Spinal Abscess


Understanding Floating White Fibers in Stool: Causes and Concerns

Floating stools Hello, doctor! After having a bowel movement, I noticed white, thread-like floating objects in the toilet. In early May, I experienced frequent urination and a burning sensation in the urethra. I visited a doctor and took a week of doxycycline, which resolved the ...


Dr. Liao Zhongxin Reply:
Dear readers: <Regarding the use of doxycycline for one week> Here is the response: A: 1. Doxycycline can treat Gram-positive bacteria, Gram-negative bacteria, rickettsiae, and some sexually transmitted pathogens. 2. The most common side effect is gastrointestinal discom...

[Read More] Understanding Floating White Fibers in Stool: Causes and Concerns


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