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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cirrhosis Patient, Severe Bronchitis, Severe Dyspnea. Viral Origin. Put NG Tube. Had Cervical Lymphadenopathy. Will It Get Better?

hello. i am a student of medicine, female 28 y/o. about 5 years ago, i was on shift in the emergancy room. we had a patient with cirrhosis. the cause of the disease was not known, but it seemed that it may be of a viral origin (like HBV or HCV). the patient had upper GI bleeding, so i put a NG tube. there was only one clot returning from the NG tube. my resident told me i have to push saline to open the clogged tube. when pushing saline it suddenly splashed into my face (i had glasses). i washed my eyes and face thoroughly... unfortunately the patient was discharged without cheking the viral markers..
3 weeks later i had cervical lymphadenopathy, about 3-4 nodes, which were firm, nontender, and easily movable, with size about 1*1.5 cm, in my left cervical chain, with out any other signs or symptoms. after 1 week i felt a little ear discomfort and mild sore throat. after 1 day it turned into a severe bronchitis with mild purulent discharge and wheezing, with mod to severe dyspnea. there was mod fever. the condition was improved in about 9-10 days, after using oral azithromycine and bronchodilators, and the lymph nodes disappeared... i checked my HBV and HCV markers 2 years ago and both were negative. actually i`m afraid checking HIV ab.. my question is that if there is any relation between that illness and what was ocurred in the ER? i do not have any other symptoms up to now and i`m in a good health condition. in addition i`ve married for about 4 years, and my husband is healthy also....
thanks for your kind consultation.....
Fri, 10 May 2013
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Allergist and Immunologist 's  Response
you must have caught viral from the patients
and viral infections can also cause the same signs and symptomps as you wrote
viral takes 3 wk to go and that occured in your case
and afdter a long time there is no recurence and no other problems it means you are perfectly fine and no need to worry
yjere are no chances of hiv after reading your signs and symptomps you described abovee
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Cirrhosis Patient, Severe Bronchitis, Severe Dyspnea. Viral Origin. Put NG Tube. Had Cervical Lymphadenopathy. Will It Get Better?

you must have caught viral from the patients and viral infections can also cause the same signs and symptomps as you wrote viral takes 3 wk to go and that occured in your case and afdter a long time there is no recurence and no other problems it means you are perfectly fine and no need to worry yjere are no chances of hiv after reading your signs and symptomps you described abovee