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Xiong Hong Hai
Infectious Disease
About me
With 9 years of clinical experience, currently working as an attending physician in the Department of Infectious Diseases at Ji'an Central People's Hospital. Also a member of the Ji'an Liver Disease Society.
Proficient in diseases
Specializes in the diagnosis and treatment of various infectious diseases such as HIV, HBV with HBsAg positive, HBV with HBeAg positive, rabies, pulmonary tuberculosis, lymph node tuberculosis, fatty liver, alcoholic liver disease, cirrhosis, liver cancer, and HCV.
Voices
Can tuberculosis be cured?
Tuberculosis can actually be completely cured, primarily through anti-tuberculosis treatment. If it is confirmed to be active tuberculosis, systematic and standardized anti-tuberculosis treatment is required. Through scientific and reasonable anti-tuberculosis treatment and taking medication on time and according to guidelines, most tuberculosis patients can be cured, with a cure rate reaching 85%. The treatment includes an intensive phase of anti-tuberculosis treatment and a consolidation phase, with the total course of treatment being about six months. After being cured, it is not easy to relapse, but it is essential to take medications on time, adjust nutrition, modify work and rest schedules, and rest well.
Can kissing transmit AIDS?
If it is deep kissing and the other person is HIV-positive, there is still a certain risk, but the overall risk is relatively low. Of course, the specific risk needs to be assessed based on the actual situation. If there is bleeding gums or oral diseases, then the risk will increase. If there is no bleeding gums, the risk may be even lower. HIV is mainly transmitted through sexual contact, primarily through unprotected vaginal or anal intercourse, and can also be transmitted through blood and from mother to child.
How is tuberculosis diagnosed?
The diagnosis of tuberculosis primarily involves combining relevant clinical symptoms, such as whether there is cough, expectoration, low fever, night sweats, and blood in phlegm. It also requires considering the patient's chest imaging features, whether there is obvious infection, fresh exudation, cavities, as well as sputum tests. For example, if the sputum stain for acid-fast bacilli is positive, and the sputum culture is positive, using these comprehensive diagnostic methods, tuberculosis can be diagnosed, after which anti-tuberculosis treatment should be initiated.
Why is rabies afraid of water?
The reason why rabies fears water is because the rabies virus proliferates extensively in the brain, causing massive damage to brain tissues and cells. When it affects certain swallowing nerves and glossopharyngeal nerves, and causes extensive necrosis of brain and liver cells, these symptoms will appear. In addition to fearing water, there is also a fear of bright light, wind sounds, and noise. There will be evident fear-induced spasms, and eventually, it leads to death due to coma, and it is also prone to fever.
Can viral hepatitis be breastfed?
Regarding the issue of whether breastfeeding is possible with viral hepatitis, it depends on the specific situation, as there are many types of viral hepatitis, and opinions vary for different types. For individuals infected with Hepatitis B, it is generally considered safe to breastfeed. However, breastfeeding is not recommended for mothers with Hepatitis C. Hepatitis A and E, during their acute infectious phases, are contagious, and breastfeeding is not advised. Hepatitis A and E are self-limiting diseases, and breastfeeding can be resumed four to eight weeks after recovery.
How to cure AIDS?
AIDS currently cannot be eradicated or cured. This is because after the HIV virus infects the human body, it forms a viral reservoir within the immune system. The current anti-HIV medications only suppress the replication of the HIV virus, but are unable to effectively eliminate the viral reservoir. This is why AIDS cannot be cured. It requires long-term and regular medication adherence. If medications are not taken on time or are discontinued without authorization, the disease is very likely to relapse.
What temperature does AIDS fever reach?
People with AIDS, especially in the late stages of the disease, are indeed prone to fever, which can manifest as either high or low-grade fevers. The severity of the fever and its occurrence are greatly linked to various opportunistic infections. If there is a concurrent bacterial infection, it typically results in high fevers, whereas tuberculosis co-infections might cause low-grade fevers and night sweats. If there are other co-infections, such as viral infections, these can also lead to either high or low-grade fevers at times. It’s difficult to specify a definite temperature for fevers in AIDS patients, as it can vary.
What are the symptoms of viral hepatitis?
Viral hepatitis often presents symptoms such as fatigue, aversion to oil, nausea, abdominal distension, and poor appetite. Patients with mild viral hepatitis typically show no significant symptoms, while those with severe conditions might exhibit relevant clinical symptoms. Particularly severe cases can also present signs of jaundice, such as deep yellow color of the skin and mucous membranes, deep yellow sclera, itchy skin, and may even experience hepatic encephalopathy, liver coma, etc. Treatment and management should start from the etiology, removing the cause and strengthening liver protection and enzyme reduction as part of comprehensive treatment.
What is the late stage CD4 count for AIDS?
Generally speaking, in individuals infected with HIV, if the CD4 count falls below 200, it progresses to the AIDS phase. If the CD4 count falls below 50, it indicates the late stage of AIDS, during which the body's immune function is severely compromised. This makes it easy to contract various opportunistic infections, opportunistic tumors, as well as AIDS-related inflammatory syndrome, wasting syndrome, etc. Once AIDS is definitively diagnosed, it is necessary to start timely and scientifically sound anti-HIV treatments as soon as possible.
What medicine to take for viral hepatitis?
In the treatment and management of viral hepatitis, it is necessary to handle it based on the actual situation, as different types of viral hepatitis have different treatment methods and strategies. For Hepatitis A and Hepatitis E, there are no specific antiviral drugs targeting the virus; the main approach is symptomatic treatment. If liver function is abnormal, it is advisable to choose some liver-protecting and enzyme-lowering drugs. For significantly high levels of bilirubin, one can opt for drugs that reduce jaundice and ensure adequate rest. In the treatment of Hepatitis B and Hepatitis C, if there are candidates suitable for antiviral treatment, active antiviral therapy should be undertaken. The treatment strategy should be based on the actual situation.