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Louise Sivak, M.D.
Louise Sivak, M.D., Doctor
Category: Pediatrics
Satisfied Customers: 3498
Experience:  Pediatrician, Board-certified in Ped Hematology/Oncology
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experience with pediatrics and infectious disease

Resolved Question:

experience with pediatrics and infectious disease
Submitted: 2 years ago.
Category: Pediatrics
Expert:  Louise Sivak, M.D. replied 2 years ago.
Hello, What is your question about your child?
Expert:  Louise Sivak, M.D. replied 2 years ago.
Please post back with your questions when you're online.
Customer: replied 2 years ago.
Is five days old being treated for throat blister....culture s been taken for herpes and is not back...three spinal tapsdone to no avail...under the circumstances is proper protocol being followed and should we allow another spinal tap to be done,,,,,baby exhibits no adverse symptoms

Y
Expert:  Louise Sivak, M.D. replied 2 years ago.
The concern with a five day old infant with possible herpes viral infection is viremia (virus in the bloodstream) and/or viral meningitis, which can be neurologically devastating. What do you mean by "three spinal taps done to no avail"?
Customer: replied 2 years ago.
They were unsuccessful in harvesting the fluid needed
Expert:  Louise Sivak, M.D. replied 2 years ago.
I am sorry that happened. Is your baby being treated with acyclovir?
Expert:  Louise Sivak, M.D. replied 2 years ago.
Where is your baby hospitalized?
Customer: replied 2 years ago.
Yes she is....
Expert:  Louise Sivak, M.D. replied 2 years ago.
Can you switch to Chat mode so we can communicate a bit faster? The reason for another spinal tap is to determine whether she has herpes meningitis, and if she does she will require a longer course of therapy.
Expert:  Louise Sivak, M.D. replied 2 years ago.
Please ACCEPT if I've answered your question ; post back with further questions as much as you need.
Customer: replied 2 years ago.
Yes she is getting the med you alluded to, in westchester med center ny....we are awaiting the results of a throat culture will this provide enough empirical evidence about her condition. Please advise...thanks for your support
Expert:  Louise Sivak, M.D. replied 2 years ago.
Depending on what specific testing was done on her throat swab (viral culture and/or PCR test) it may or may not show Herpes. It cannot tell you whether she has Herpes meningitis ; only a repeat spinal tap can tell that.
Customer: replied 2 years ago.
To complete her profile, do you recommend that a spinal tap should be done,no matter what the culture indicates. Thanks again
Expert:  Louise Sivak, M.D. replied 2 years ago.
Only a spinal tap can tell whether she has meningitis. If she has meningitis, she requires a longer course of Acyclovir to try to achieve cure and normal neurologic outcome, normal growth and development. If the spinal tap was difficult before, perhaps this time under ultrasound guidance?
Customer: replied 2 years ago.
Thank you very much.....for your insights
Expert:  Louise Sivak, M.D. replied 2 years ago.
Please ACCEPT if I've answered your questions so far ; post back as much as you need with further questions. I wish the best for your baby!
Louise Sivak, M.D., Doctor
Category: Pediatrics
Satisfied Customers: 3498
Experience: Pediatrician, Board-certified in Ped Hematology/Oncology
Louise Sivak, M.D. and other Pediatrics Specialists are ready to help you
Customer: replied 2 years ago.
One last question.....the baby is eating....sleeping...and appears to have no physical deformities...high or low fever etc,,l. Can a baby appear to be healthy and have meningitis. Thanks again..

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Louise Sivak, M.D.
Louise Sivak, M.D.
2561 Satisfied Customers
Pediatrician, Board-certified in Ped Hematology/Oncology