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I am looking for an infectious disease specialist to review

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Posted on Wed, 13 Feb 2019
Question: I am looking for an infectious disease specialist to review my 24 yo son’s labs and interpret. I uploaded them. See below for details. Thank you! We have an appt with his doctor Thursday but we are very anxious for an opinion. He is being considered for chronic Lyme given his. CD57 count and symptoms. We sent his blood off to iGenex. Thank you. He has been unwell off and on since he got mono at age 20.
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Answered by Dr. Noble Zachariah (57 minutes later)
Brief Answer:
Not able to see results

Detailed Answer:
Hello,
Welcome and thanks for your query.
Unfortunately I am unable to see your son's lab results.
Please try to upload again
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Noble Zachariah (10 hours later)
I attached them. Thank you
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Follow up: Dr. Noble Zachariah (1 hour later)
Please see attached reports. Thank you
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Answered by Dr. Noble Zachariah (15 hours later)
Brief Answer:
Discussion follows

Detailed Answer:
Thank you for the reports.
Sorry for the delay in replying as I am traveling and the internet connection is not great.
Yes, he had an attack of infectious mononucleosis as evident from raised IgG. But he doesn't have an infection now ad the IgM is normal. He can get some symptoms post attack even in the absence of current infection.
CD57 may be related to the immune response to several infections and even malignancies and is not specific for Lyme disease.
Let us hope the pending results would throw some light.
Do get back to me if you have further queries.
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Noble Zachariah (2 days later)
Hello, I have additional test results and wanted your opinion. My son has been referred to an immunologist but we don’t have an appt yet. Thank you! I uploaded the results.
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Answered by Dr. Noble Zachariah (2 hours later)
Brief Answer:
Discussion continues

Detailed Answer:
Welcome back.
The results show low IgG and IgM values indicating that the immune response of your son is less than the normal. This may be primary due to several genetic conditions or may be secondary like malnutrition, viral complex diseases .
The immunologist will investigate and find out the type and cause.
From the point of caring for him, keep in mind that he can catch an infection easier than someone with normal immunoglobulin levels and so try to avoid contact with infections.
There is nothing to panic or worry, it is likely that he has had it for sometime and you can await the immunologist's appointment.
Regards,
Above answer was peer-reviewed by : Dr. Kampana
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2276 Questions

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I am looking for an infectious disease specialist to review

Brief Answer: Not able to see results Detailed Answer: Hello, Welcome and thanks for your query. Unfortunately I am unable to see your son's lab results. Please try to upload again