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Suggest Treatment For Symptoms Of CMV Virus

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Posted on Tue, 17 Mar 2015
Question: Hello Dr,
I have been diagnosed with CMV virous symptoms that i have right now 1 one small lymph nodels at the back of head 2 nerve hotness it comes and it goes hotnes in my facial earia brain and lips feels noshes sometimes. How can i tread it. And after treatment would it go back again is curabl can you explain please.

regards,
doctor
Answered by Dr. Arun (1 hour later)
Brief Answer:
Please provide information..

Detailed Answer:
Hello XXXX,
I understand your concern.
I am Dr. Arun Tank, infectious disease specialist, answering your concern.

Cytomegalo virus infection has two possibility in occurrence 1. cytomegalovirus mononucleosis which occurs without immunocompromised state & 2. HIV and immunocompromised states associated cytomegalovirus infection like pneumonitits, retinitis etc.

Each case has different outcome.

Please provide your detail history to help you further.
Please provide following information & other relevant history to answer your health queries further.

HIV status?
Organ transplantation history?
Drugs taken or not?
When and where probable exposure to infection occurred?
Please provide investigation report of CMV and other.

Thank you,

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Arun (1 hour later)
This happened to me on the 28-4-2014 i had protected sex with a girl that i picked up from the nightclub i had cut on the gentel earia found out after sex. about 2 weeks later i start to feel weak and sick had flu lymph nodel up to now mousel joint everything strong nerve pain on the hand and feets lost weight i did 14-10-2014 i did all stds, hepatits A,b,c all of them were non reacted.
doctor
Answered by Dr. Arun (11 hours later)
Brief Answer:
Information not provided...

Detailed Answer:
Hi XXXXXXX

You haven't provided enough information to help you.

But in your reply you have not told me about your HIV status which is much necessary to answer your query regarding CMV infection.

Please provide the information for HIV and CMV report. You can attach the report to help you further.

You can ask me further information here.

Thank you,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Arun (1 hour later)
dear Dr XXXXXXX
I attach all the files you have asked me for but it has not been sent for some reason would you please provid me with an email? so i could send you all the reports please but i dont have HIV i did blood test about month ago result non reacted.
regards,
doctor
Answered by Dr. Arun (12 hours later)
Brief Answer:
CMV has better outcome in HIV non reactive status...

Detailed Answer:
Hello XXXX,

Thank you for asking query.

You can attach the report here or can mail it to YYYY@YYYY with subject as ATTN: Dr Arun along with query id. They will send me the report.

But Considering that your HIV status is non-reactive. I want to add that CMV has better out come in the HIV non reactive status or in non immunosuppression patients.

There are various treatment option available like gancyclovir, valacyclovir and foscarnet. Each should be weighted according to patients condition and given accordingly.

You can send me the report for further help to you.

Thank you.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Arun (3 days later)
Dear DR,
Can you explain these qouations for me please?
1-How can SMV be transmited, how long does it take to treat it.
2-is it crable.
3-Can SMV come back after treatment.
4-Can CMV transmit throw kissing if im active can i pass it to others. Is it okay to go out on date with girl at moment.
I would to let you sir that it took me long time to find out its CMV found out about when i asked one of the Drs here on the website about what are the all stds then i asked the Dr in malaysia when i was in vcation to do the CMV blood test otherwise i would not know about it so god bless him and u all . Also i would like to let you that i live on canada and i didn't take any madcation for it yet and im healthy i dot take any medication would advice me what to do please advice.
Regards,
doctor
Answered by Dr. Arun (17 hours later)
Brief Answer:
Healthy people can transmit infections....

Detailed Answer:
Hello dear XXXX,

I believe all your questions are about CMV and SMV as you have typed. Let me know if I am wrong.

CMV can sheds in the infected persons saliva and other body fluids. So person can be infected with the kissing of the infected person. It can also transmits sexually, through organ transplantation etc.

If the healthy individual who is not having any infection develops disease with the CMV than it will be cured as such and no treatment is required. But if person with compromised immune system met with the infection than it can develop into chronic infection.

Though some drugs can affect the infections like gancyclovir and valacyclovir, they are not licenced for the treatment. But as per the clinical situation your doctor can use it.

In healthy individuals infection won't come back but in compromised immune system person it can remain as chronic infection.

As I mentioned you earlier it can transmit through saliva. So kissing can transmit the infection.

So safe thing you should avoid date and possible sexual exposure to your GF.

As you are mentioning that you are healthy there is no need to take any medication. The infection will pass it on its own.

I have gone through the reports you attached again.

You can ask me for further queries here.

Thank you,
Dr Arun Tank
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Arun

Infectious Diseases Specialist

Practicing since :2008

Answered : 2434 Questions

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Suggest Treatment For Symptoms Of CMV Virus

Brief Answer: Please provide information.. Detailed Answer: Hello XXXX, I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern. Cytomegalo virus infection has two possibility in occurrence 1. cytomegalovirus mononucleosis which occurs without immunocompromised state & 2. HIV and immunocompromised states associated cytomegalovirus infection like pneumonitits, retinitis etc. Each case has different outcome. Please provide your detail history to help you further. Please provide following information & other relevant history to answer your health queries further. HIV status? Organ transplantation history? Drugs taken or not? When and where probable exposure to infection occurred? Please provide investigation report of CMV and other. Thank you,