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Problems about confused infectious disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1718 Questions
User :   Hi, may I answer your health queries right now ? Please type y
Doctor :   Hi
Doctor :   how can i help you ?
User :   Is there such a thing as a real disease called "romantic fever"?
Doctor :   You mean to say rheumatic fever ?
User :   I've heard that there is a type of meningitis where the sufferer feels the same symptoms of the Victorian era disease that was known as "romantic fever".
User :   Like... The person gets a fever (an actual fever) that lasts for many days, along with a peculiar change in mental state involving an inability to stop thinking about someone that he/she feels passionately in love with.
Doctor :   sorry, there is no such condition called romantic fever in medical literature
User :   What are the symptoms of syphilitic meningitis?
Doctor :   that could just be a term coined by laymen describing a depressed state of mind
User :   But it has nothing to do with fever, fatigue, muscle aches and inability to think about anything other than someone that the sufferer is in love with?
Doctor :   meningitis, includes symptoms such as fever, irritability, altered senses, loss of consciosness, and in severe cases seizures
User :   What do you mean by altered senses?
User :   I mean... How would you describe "altered senses" to a layman?
Doctor :   decreased level of consciousness is called altered senses
User :   Is that similar to feeling "high" without actually taking drugs?
Doctor :   no
User :   So, is it similar to inability to maintain alertness, even when the person has gotten plenty of sleep?
Doctor :   feeling high is like heightened senses, and of mental overactivity
Doctor :   here there is mental underactivity
User :   Like... the person doesn't think as much as they would if they were not sick?
Doctor :   yes, it is reduced alertness, increased reaction time , drowsinees, etc
User :   If someone feels reduced alertness, increased reaction time, drowsiness, inability to stay awake for large part of the day, fatigue, muscle aches, and fever...
User :   and that someone also feels like he/she cannot get to a state of being fully awake throughout the day...
User :   could he/she have meningitis?
User :   I mean, meningitis is not common, right?
Doctor :   yes, that could be meningitis
User :   And not a lot of people get it, right?
Doctor :   meningitis is a less common condition and usually it is a very serious state
User :   I mean... I suppose it is the fact that it is uncommon that makes meningitis a disease that people don't even routinely test for... like people test for other STDs, right?
User :   Is meningitis even considered an STD?
Doctor :   some diseases like HIV, HSV, syphilis, gonorrhea, can cause meningitis
User :   Okay... So, it might be serious -- but does it heal-up on its own, like the flue often heals up on its own, or like chicken pox often heals up on its own?
Doctor :   meningitis can be caused by any microbe , virus or bacteria that can gain entry into the blood stream and reach the brain
User :   But can you actually get meningitis through sex, if you don't have HIV, HSV, syphilis, gonorrhea, or any of that?
Doctor :   no
User :   What other kind of microbe other than virus or bacteria could cause meningitis? A fungus? A parasite?
Doctor :   sex cannot cause meningitis, unless you have been infected
Doctor :   with the above STDs that i mentioned earlier
User :   In other words, you don't really have to worry about the possibility of getting meningitis unless you have a serious STD, right?
Doctor :   as i said, any microbe (virus, bacteria, parasite, fungi)
Doctor :   eg for parasites causing meningitis = toxoplasmosis, malaria,
Doctor :   eg of fungi = candida,
User :   So, any virus that reaches the brain can cause the disease "meningitis"?
Doctor :   yes
User :   So, if you have malaria, do you also have to have an STD in order to get meningitis, or can malaria in and of itself cause meningitis?
Doctor :   no malaria is not an STd
Doctor :   malaria can itself cause symptoms of meningitis
Doctor :   this is called cerebral malaria
User :   I know that malaria is not an STD. But, so.. You can't get meningitis from malaria, right? And a person in malaria is not supseptable to meningitis unless he/she also has an STD, right?
User :   Does cerebral malaria kill?
Doctor :   yes, it is dangerous and is sometimes fatal
User :   Are the symptoms of cerebral malaria exactly the same as those of meningitis, or is there a difference?
Doctor :   the symptoms are similar and in some cases it can cause coma and death too
User :   Like, if someone has the symptoms of reduced alertness, increased reaction time, drowsiness, inability to stay awake for large part of the day, fatigue, muscle aches, and fever, how would you be able to tell if they have something like cerebral malaria, something like meningitis, or something else?
Doctor :   let me put it this way, meningitis is a complex of symptoms , which can be caused by a variety of microbes as explained earlier
User :   Also, is there a difference in the treatment for meningitis, and the treatment for cerebral malaria?
Doctor :   some conditions like malaria, have additive symtoms including coma, and death
User :   Is meningitis curable?
Doctor :   yes you treat the underlying infection and give symptomatic treatment for meningitis and the condition is cured
Doctor :   it is the same with cerebral malaria, ,... too
Doctor :   the earlier the treatment, the faster the resolution of symptoms in both of them
User :   Uff!
Doctor :   Did i say anything offending ?
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