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Viral and secondary bacterial infection of the throat - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   question
User :   hi doctor
User :   here is my question
User :   i have had a sore throat for 10 days now
Doctor :   Hi,
Doctor :   ok,
User :   around day 5 i went to the doctor and had them do a culture for ghonerea and clamydia
User :   bc i had performed oral on the guy i am dating
User :   they came back negative
Doctor :   ok,
User :   but i have a sore throat that has progressed
User :   and now have phlegm and a lil cough
User :   and a swollen lymph node
User :   right one
User :   she told me to take the antibiotics she prescirbed anyways since it's for a bacterial infection
User :   she sent me doxycycline hyclate
User :   i just started last night
User :   but wanted a second opinion
Doctor :   May i know Where is the swollen lymph node ?
User :   right side neck
Doctor :   ok, And was the cough dry in the begning ?
User :   no cough
User :   until now
User :   now with the phlegm
Doctor :   was there any fever before or now ?
User :   no fever
User :   but haven't taken my tempature really
User :   but i would know right?
Doctor :   yes,
Doctor :   ok, you probably have got a viral infection now contracted a secondary bacterial infection for which the antibiotics is necessary
Doctor :   the viral infection will make the mucous of the lungs and throat sore and sensitive for bacterial infection
Doctor :   hence commonly resulting in a secondary bacterial infection
User :   hmmmm
User :   what is a viral infection?
Doctor :   suspected organism would be streptococci or pneumococci
User :   is this std related?
User :   or just coincidence?
Doctor :   and can be confirmed by a culture test of the throat swab
User :   could i have herpes
Doctor :   no , its not an STD
Doctor :   but yes can spread by contact
User :   so how did i get the primary viral infection?
User :   through contact with someone that had it?
Doctor :   yes,
User :   drinking from the same cups or something?
Doctor :   yes,
User :   what would've been the viral infection?
Doctor :   and even from a oral
User :   from a oral?
User :   so oral can give me a viral infection?
User :   oral sex?
Doctor :   yes, most common virus which infect and and cause sore throat are flu viruses
User :   so i got the flu and then now have a bacterial infection?
User :   so the sore throat progressed
Doctor :   yes, oral can be a chance, well sharing the cups can also be the cause
User :   and are we sure it's not herpes
User :   i also had protected vaginal sex
Doctor :   yes, unless you have vesicular lesions in the oral cavity or over the gentilia
User :   no lesions
User :   lesion free
Doctor :   and its very less likely for the herpes to cause lung infection
User :   and i had sex 3 weeks go
User :   so i think i would have lesions by now
User :   the oral sex was more recent
User :   like 10 days ago
Doctor :   3 weeks would a optimum time for the virus and secondary bacteria infection
Doctor :   lest not consider the oral sex as the prime cause , as i said it may also cause the infection but not the only way
Doctor :   continue the antibiotics
Doctor :   and gargle with CHLORHEXIDINE antiseptic solution for sore throat
Doctor :   Are you there ?
User :   sorry
User :   i'm back
User :   well oral sex was 10 days
User :   i've had the sore throat for 10 days
User :   3 weeks ago was vaginal sex
Doctor :   i repeat oral sex is not the only way by which you can get the infection
User :   so i was thinking herpes could cause flue like symptoms
Doctor :   it could be even with the sharing of cups
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