Subscribe
78
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
Does rabies cause coughing?
Rabies generally does not cause severe coughing, but in the late stages of the disease, coughing can occur. Eventually, due to spasms and paralysis of the respiratory muscles, some sputum cannot be expelled, which stimulates the respiratory tract to produce more secretions, possibly leading to frequent coughing. The main symptoms of rabies are a distinct fear and restlessness towards water, light, and wind. Rabies ultimately leads to death due to respiratory muscle failure and paralysis of the respiratory system.
Rubella virus belongs to the Togaviridae family.
Infections with the rubella virus require treatment in infectious disease departments, as it is a contagious disease caused by the rubella virus, characterized as an acute, rash-causing infectious disease. Typical clinical symptoms include fever, a body-wide rash, and swelling of the lymph nodes behind the ears, although most cases are relatively mild and short in duration. Both children and adults can contract the disease, which can easily lead to outbreaks; school-aged children between five and nine years old are at high risk. There are no specific drugs for the treatment of rubella; generally, most people recover on their own within about two weeks.
Does rubella virus require treatment?
Rubella virus generally does not have specific antiviral drugs, and treatment is mainly symptomatic. Most cases of rubella are relatively mild and many do not require treatment; full recovery usually occurs within about two weeks. For those presenting with noticeable fever and joint pain, symptomatic treatment can be provided, such as choosing some antipyretics or pain relievers. Generally, patients do not need hospital treatment. After recovery from the illness, relapse generally does not occur and one may acquire some immunity. Most patients do not have any sequelae, but pregnant women may face the risk of miscarriage or fetal malformation.
Is tuberculosis infectious?
Only patients whose active phlegm contains tuberculosis bacteria are infectious. Many cases of tuberculosis are actually non-contagious. For example, extrapulmonary tuberculosis, such as lymph node tuberculosis, tuberculous pleurisy, and tuberculous meningitis, are not contagious. Pulmonary tuberculosis patients, whose phlegm contains tuberculosis bacteria, are contagious and need appropriate respiratory isolation and should begin anti-tuberculosis treatment as soon as possible. Through anti-tuberculosis treatment, contagious pulmonary tuberculosis can become non-contagious.
Is viral hepatitis easy to treat?
In fact, the treatment of viral hepatitis should be based on the actual situation, and many prognoses are very good, with many recovering to a completely normal state and even without recurrence. Different types of viral hepatitis have different characteristics, and the methods and strategies of treatment are also different. Hepatitis A and E are transmitted through the digestive tract and fecal-oral route and are acute self-limiting infectious diseases. During the onset, gastrointestinal isolation, liver protection, and enzyme reduction treatments are implemented. After four to eight weeks, recovery is generally complete. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child, and general contact does not lead to infection. Antiviral treatment should be administered if there are indications for it.
How long is the longest incubation period for rabies?
The incubation period of rabies is generally between one to three months, and it is rare for the disease to have incubation period longer than a year. Most cases usually fall within one to three months, according to the 2016 Rabies Prevention Guide. The longest recorded incubation period for rabies mentioned in the guide was six years, but such cases are extremely rare. Therefore, if a person is bitten by a dog and does not develop the disease within a year, it is generally considered that they were not infected with rabies at the time of the bite. Rabies is a fatal disease, with a 100% fatality rate upon infection, so prevention is crucial.
What are the symptoms of rubella virus?
Rubella occurs after infection with the rubella virus, which is a contagious disease. The typical clinical symptoms are fever, rash, and swelling of the lymph nodes behind the ears and at the back of the head. Generally, the clinical symptoms are relatively mild, the course of the disease is relatively short, and the prognosis is mostly good. However, if a pregnant woman is infected in the early stages of pregnancy, it can potentially affect the growth and development of the fetus. Transmission can occur through ordinary droplets, respiratory transmission, or close contact between individuals. In terms of treatment, there are no specific drugs, and many patients can recover in about two weeks without treatment.
Does the blood test for rubella virus require fasting?
During the examination for rubella, blood can be drawn to test for rubella virus-specific antibodies IgG and IgM. It is best to conduct these tests on an empty stomach as fasting results are more accurate. Additionally, rubella virus can be isolated from some of the nasal secretions of the patient, though this test is more expensive and less commonly used. Rubella is a self-limiting disease; if IgM is found positive through rubella antibody testing, rubella can be confirmed and symptomatic treatment should be administered. There is no specific antiviral medication for the rubella virus.
Does rabies transmit through saliva?
Rabies virus is primarily found in the saliva of dogs during the symptomatic phase, the saliva of cats during the symptomatic phase, and in the bodies of bats. There is a high concentration of rabies virus in the saliva of dogs during the symptomatic phase. Therefore, if one is bitten by a rabid dog, there is a significant risk of infection. It is necessary to promptly block and clean the wound, vaccinate against rabies, and administer rabies immunoglobulin injections locally at the wound site.
What are the indicators for viral hepatitis testing?
Viral hepatitis can be confirmed for infection through tests such as hepatitis B "two and a half pairs," hepatitis A antibodies, hepatitis C antibodies, and hepatitis E antibodies. By using the hepatitis B "two and a half pairs" test to look for the hepatitis B surface antigen, if the surface antigen is positive, it indicates infection with the hepatitis B virus. The hepatitis A antibody test primarily assesses for hepatitis A antibody IGM; if this is positive, it suggests an active infection. Through the hepatitis C antibody test, if positive, further testing for hepatitis C virus RNA can be conducted. The hepatitis E antibody test mainly looks at hepatitis E antibody IGM, and the interpretation should be based on the specific circumstances.