

Xiong Hong Hai

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

Do you get a fever with viral hepatitis?
Viral hepatitis, when liver function is significantly abnormal and during acute bouts of illness, may result in some patients experiencing mild or high fever, which is transient. Common symptoms include fatigue, aversion to oils, nausea, abdominal bloating, and poor appetite. Clinical symptoms vary among different types of viral hepatitis. Common types include Hepatitis A, B, C, D, and E. Hepatitis A and E are acute self-limited forms of hepatitis, which generally recover within four to eight weeks. Hepatitis B and C, however, can easily become chronic.

Can you get pregnant if you test positive for rubella virus?
A positive rubella virus test requires attention as to which specific indicator is positive. If the IgM is positive, then it is certain that pregnancy should be avoided. If the IgM is negative and the IgG is positive, it indicates past infection with rubella virus. There is currently no rubella virus infection in the body, and the presence of rubella virus IgG offers protective effects, preventing the virus from infecting again. Thus, under this circumstance, pregnancy can proceed normally. Rubella is a self-limiting disease, and during an infection, pregnancy should not occur because the rubella virus can pass through the placental barrier into the fetus, potentially causing restrictions in fetal growth and development.

Rabies is transmitted by what?
Rabies is an infectious disease primarily caused by bites from rabid dogs. According to the epidemiology of rabies in our country, it is mostly contracted from dog bites when no rabies vaccine has been administered. Of course, there is also a risk of infection from scratches by cats or dogs during their infectious periods or bites from infected cats, as well as scratches from bats carrying the rabies virus. To date, there have been no reported cases of human-to-human transmission. Rabies is a fatal disease, with a 100% fatality rate upon infection, thus prevention is crucial.

Rabies is transmitted through what?
According to epidemiological surveys in our country, the majority of rabies cases are caused by bites from rabid dogs. Bites and scratches from cats, bats, and other animals are relatively less common, but they still occur occasionally. Dogs or cats exhibiting symptoms of the disease have a large amount of rabies virus in their saliva, which is highly contagious. Rabies is a fatal disease, and once infected, it is 100% fatal with no available treatment. Therefore, it is crucial to strengthen prevention measures, which can include rabies vaccinations and rabies immunoglobulin.

Which test determines AIDS?
To confirm AIDS infection, initial screening is conducted for HIV antibodies. If the result is positive, further confirmatory tests must be performed at a disease control center. Only if the confirmatory tests are positive can a diagnosis of AIDS be made. Therefore, confirmatory tests are essential to determine the presence of HIV infection. Once an HIV infection is confirmed, it is crucial to start timely and scientifically sound antiretroviral therapy, as well as to ensure proper rest and maintain good health.

Routes of HIV transmission
According to epidemiological surveys of AIDS, the main mode of transmission is actually through sexual contact, which accounts for 90% of all transmission methods. Besides sexual transmission, it can also spread through blood transmission and mother-to-child transmission. Blood transmission mainly refers to needle stick injuries, intravenous drug use, and there are also risks involved with eyebrow tattooing, ear piercing, and tattooing. If pregnant women with AIDS do not receive proper intervention, the virus can easily be transmitted to the newborn, and this is the concept of mother-to-child transmission.

Can rabies be transmitted indirectly?
Actually, the vast majority of rabies cases are caused by being bitten by rabid dogs and not getting vaccinated against rabies. The remaining few cases may be due to bites or scratches from cats or bats, and there are basically no instances of indirect transmission leading to infection. Rabies is a fatal disease, with a 100% fatality rate once infected. Therefore, it is crucial to enhance prevention as there are no treatment options available. Once rabies is definitively diagnosed, isolation must be enforced. If bitten by a rabid dog, it is important to handle the situation promptly by administering rabies vaccine and rabies immunoglobulin.

Viral hepatitis is what kind of inflammation?
Viral hepatitis is caused by infection with hepatitis viruses, resulting in liver damage and is somewhat contagious, commonly including types A, B, C, D, and E, totaling five types. In fact, the hepatitis virus itself may not cause liver damage directly, rather it is the immune responses triggered by the infection that lead to immunological damage. Thus, viral hepatitis is essentially an immune-mediated inflammation. Different types of viral hepatitis have different outcomes and prognoses. The transmission routes of viral hepatitis mainly fall into two categories: hepatitis A and E are primarily transmitted via the fecal-oral route, while hepatitis B, C, and D are mainly spread through blood and other body fluids. Treatment should be tailored according to the specific circumstances.

Is viral hepatitis hereditary?
Viral hepatitis is an infectious disease, not a hereditary disease, and has no relation to genetics. Common types of viral hepatitis include hepatitis A, B, C, D, and E. Different types of viral hepatitis have different modes of transmission; hepatitis A and E are transmitted through the fecal-oral route via the digestive tract, while hepatitis B and C can be transmitted through blood, perinatal transmission, and sexual contact. The treatment and management methods for different types of viral hepatitis also vary.

initial symptoms of AIDS
People infected with HIV may experience a series of symptoms in the early stages of the disease, about two to three weeks after being infected with the virus. At this time, due to the virus's rapid growth and reproduction in the body, symptoms such as viral viremia can occur, including rash, fever, sore throat, and swelling of lymph nodes throughout the body. These symptoms are reversible and can subside after one to two weeks. Many people infected with HIV may not show any symptoms. The diagnosis of HIV is mainly confirmed through tests such as HIV antibodies, and it is not possible to infer HIV infection based merely on external symptoms.