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Suggest Treatment When Suffering From Coxsackie Virus Infection
Posted on
Sun, 28 Sep 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 28 Sep 2014
Answered on
Tue, 21 Oct 2014
Last reviewed on
Question : I have coxsackie virus which has spread to most areas of my body. note I am receiving chemo for nonhodgkins lymphoma. have contacted both onc and pcp who has prescribed visteral for itch (extreme) and prednisone 40 mg but I continue to have more rash each day. 9 days into virus. any suggestions. wbc has been down, just had started to improve but not normal yet.
Brief Answer:
symptomatic treatment is enough
Detailed Answer:
If it is coxsackie alone then symptomatic treatment with antihistamics in proper doses is sufficient. Steroids are added in severe cases as is done in your case.
Since you are on chemotherapy with low counts it should be made sure that there is no superadded bacterial infection. If you have fever with low counts , it is mandatory that you take antibiotics even if it is viral infection.
Sometimes during the recovery phase of blood counts rash becomes severe and abates slowly. This is because of immune reconstitution during recovery phase which increases the antigen antibody reaction,the cause of rash.
Usually medication are not taken in proper doses hence symptoms persistent. Please consult your doctor again to adjust the dose of your medication
symptomatic treatment is enough
Detailed Answer:
If it is coxsackie alone then symptomatic treatment with antihistamics in proper doses is sufficient. Steroids are added in severe cases as is done in your case.
Since you are on chemotherapy with low counts it should be made sure that there is no superadded bacterial infection. If you have fever with low counts , it is mandatory that you take antibiotics even if it is viral infection.
Sometimes during the recovery phase of blood counts rash becomes severe and abates slowly. This is because of immune reconstitution during recovery phase which increases the antigen antibody reaction,the cause of rash.
Usually medication are not taken in proper doses hence symptoms persistent. Please consult your doctor again to adjust the dose of your medication
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thank you. Exactly my thoughts. PCP not great and had to be convinced chemo pt w/ this severe rash needed prednisone and an antibiotic as you described. Only agreed to prednisone. Will contact her tomorrow for appt. if still resistant will all onc. I am an RN nurse educator so was very disappointed she wouldn't listen. Then questioned myself, thanks for confirmation. Will handle professionally,43 yrs experience.
Brief Answer:
thank u
Detailed Answer:
Thank you
thank u
Detailed Answer:
Thank you
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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