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Need help interpreting these results. What treatment would…

Need help interpreting these results...
Need help interpreting these results. What treatment would be indicated, if any?
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Answered in 4 minutes by:
9/6/2017
Dr. Ravoof
Dr. Ravoof, Doctor
Category: Medical
Satisfied Customers: 6,742
Experience: Experienced Physician in the field of Medicine and Surgery.
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Dear customer,

Thank you for the question.

Why were these tests done? What symptoms are you having? How old are you?

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Customer reply replied 10 months ago
extreme muscle weakness and fatigue. for my daughter, age 16

Dear customer,

Thank you for replying.

Single titers of Coxsackie B Antibodies more than or equal to 1:32 are indicative of recent infection. So your daughter had a titer of 1:32 which is high and may indicate a Coxsackie virus infection. This infection may sometimes cause complications such as flaccid motor weakness that closely mimics poliovirus infection. So consulting a neurologist is indicated with this result and the presenting symptoms.

Take care.

Please let me know if you have further queries or unanswered questions.
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Customer reply replied 10 months ago
Thank you, ***** ***** be a result of an earlier localized staph aureus infection that became bacteremia and could this result in myositis? There is also skin involvement, rashes (malpr and generalized), pustules, etc
Customer reply replied 10 months ago
That infection occurred over a year earlier but muscle weakness and other symptoms have worsened

Dear customer,

You are welcome!

This is unlikely to be due to a localized staphylococcal infection and more likely to be due to chronic fatigue syndrome after the viral infection.

Take care.

Please let me know if you have further queries or unanswered questions.
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It will be very generous of you to also consider a bonus.
Thank you!

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Customer reply replied 10 months ago
Just to clarify, the staph infection was seeded, carried through the blood stream and resulted in septic shock.
Customer reply replied 10 months ago
Also, what is the indication of the pneumo Ab?

Dear customer,

Thank you for replying.

A generalized staphylococcal infection will again cause a localized disease such as local soft-tissue infections pyomyositis, septic bursitis, and septic arthritis. It will not cause a generalized muscle weakness and fatigue.

The pneumococcal antibodies low level indicates that there is not sufficient immunity against pneumococcus, however, this is not the cause of the weakness and fatigue.

Take care.

Please let me know if you have further queries or unanswered questions.
Please rate the answer with 5-stars, by clicking the 5-stars above with your mouse (or with your finger for a mobile device).
It will be very generous of you to also consider a bonus.
Thank you!

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Customer reply replied 10 months ago
After a quick search I see something called dermatomyositis can cause extreme muscle weakness, is this incorrect?
Customer reply replied 10 months ago
I do not wish to challenge you, your answers are extremely comforting and helpful, just want to make sure I am understanding this correctly to avoid worsening of symptoms.

Dear customer,

Thank you for replying.

Yes, this is correct and a possible cause that needs to be considered for these symptoms. However, these lab results don't confirm or deny dermatomyositis which is a completely different disorder.

Take care.

Dr. Ravoof
Dr. Ravoof, Doctor
Category: Medical
Satisfied Customers: 6,742
Experience: Experienced Physician in the field of Medicine and Surgery.
Verified
Dr. Ravoof and 87 other Medical Specialists are ready to help you
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Customer reply replied 10 months ago
I see, thank you so much, I will contact a neurologist right away

Dear customer,

You are very welcome!!
Thank you!

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