
Hello ! I M Healthy Person - But In Understand

I m healthy person - but in understand that i too much thinking and reading makes you stress - so I need expert advice !
So avoid reading unnecessary - wont make stress in my mind
Acute disease can make your little bit CD4 cells go down
1. For example Acute C hepatitis - it could lower CD4 amount - but not so much in early stage (acute C hepatitis) that it could cause latent Tuberculosis activation ?
Of course C hepatitis should be treated that it dont cause any problem in future - just CURE C hepatitis early !
2. In healthy person any acute disease could lower little bit CD4 amount - but not so much as it could cause latent Tuberculosis activation !
And with proper treatment CD4 amount will go up and resolve all problems ?
I hope for positive answer that won make you stress but relax !
Thank you very much !

I m healthy person - but in understand that i too much thinking and reading makes you stress - so I need expert advice !
So avoid reading unnecessary - wont make stress in my mind
Acute disease can make your little bit CD4 cells go down
1. For example Acute C hepatitis - it could lower CD4 amount - but not so much in early stage (acute C hepatitis) that it could cause latent Tuberculosis activation ?
Of course C hepatitis should be treated that it dont cause any problem in future - just CURE C hepatitis early !
2. In healthy person any acute disease could lower little bit CD4 amount - but not so much as it could cause latent Tuberculosis activation !
And with proper treatment CD4 amount will go up and resolve all problems ?
I hope for positive answer that won make you stress but relax !
Thank you very much !
Yes, your assumptions are correct.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Yes, your both assumptions are correct.
Any acute infection (viral or bacterial or fungal or parasitic) can cause reduction in CD4 count and this can ultimately lead to reactivation of latent Tuberculosis.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Yes, your assumptions are correct.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Yes, your both assumptions are correct.
Any acute infection (viral or bacterial or fungal or parasitic) can cause reduction in CD4 count and this can ultimately lead to reactivation of latent Tuberculosis.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


you made me more stress - my question is more that it could not activate latent tuberculosis
XXXXXXX it could activate -
just imagine if i get some bacterial infection - but otherwise i m healthy will i get activization of my tuberculosis
no - then every one who has latent tuberculosis would activate it -
But we dont see it
for example acute HCV increase CD4 amount it is showed in this publication
you can see in diagramma imige
https://www.sciencedirect.com/science/article/pii/S0000
- answer acute HCV increase CD4 - and dont increase risk for tuberculosis activation !!!
and very important information that prove that only mild CD4 decrease and then it goes up after recovery !
Certain viral and bacterial infections have correlations with a mild decrease in CD4 cell count. These have been documented in viral infections such as Ebstein Barr Virus (EBV), cytomegalovirus (CMV)
https://www.ncbi.nlm.nih.gov/books/NBK470231/
And cd4 in HCV decrease in late stage but in early stage it up - and if it is early cure there is no problems to immunity and health
Patients with Hepatitis C virus (HCV) cirrhosis tend to have lower CD4 cell counts
https://www.ncbi.nlm.nih.gov/books/NBK470231/
your answer made me more stressful - and made me search for information by my own
so i could calm down me by myself

you made me more stress - my question is more that it could not activate latent tuberculosis
XXXXXXX it could activate -
just imagine if i get some bacterial infection - but otherwise i m healthy will i get activization of my tuberculosis
no - then every one who has latent tuberculosis would activate it -
But we dont see it
for example acute HCV increase CD4 amount it is showed in this publication
you can see in diagramma imige
https://www.sciencedirect.com/science/article/pii/S0000
- answer acute HCV increase CD4 - and dont increase risk for tuberculosis activation !!!
and very important information that prove that only mild CD4 decrease and then it goes up after recovery !
Certain viral and bacterial infections have correlations with a mild decrease in CD4 cell count. These have been documented in viral infections such as Ebstein Barr Virus (EBV), cytomegalovirus (CMV)
https://www.ncbi.nlm.nih.gov/books/NBK470231/
And cd4 in HCV decrease in late stage but in early stage it up - and if it is early cure there is no problems to immunity and health
Patients with Hepatitis C virus (HCV) cirrhosis tend to have lower CD4 cell counts
https://www.ncbi.nlm.nih.gov/books/NBK470231/
your answer made me more stressful - and made me search for information by my own
so i could calm down me by myself
But, it is not true always.
Detailed Answer:
Thanks for your follow up question on the Ask a doctor forum.
First of all, sorry for the late reply as I was busy.
And it is not always True.
Not always, low CD4 count due to acute infection causes reactivation of Tuberculosis.
This also depends on the duration and severity of the infection.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.

But, it is not true always.
Detailed Answer:
Thanks for your follow up question on the Ask a doctor forum.
First of all, sorry for the late reply as I was busy.
And it is not always True.
Not always, low CD4 count due to acute infection causes reactivation of Tuberculosis.
This also depends on the duration and severity of the infection.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.


to end up this discussion and stop it is summery
Those who have poor health condition has risk
For example HIV + you get some infection that lower more CD4 and immunity you could get active Tuberculosis
But for healthy person how get some infection that lower little bit CD4 and immunity there is no risk for active Tuberculosis
As in all info said that risk group is persons with health condition - no healthy person who get some light infection
Please say shot yes that I m right - and end up this discussion
From CDC page
https://www.cdc.gov/tb/topic/basics/risk.htm
Persons with Medical Conditions that Weaken the Immune System
Babies and young children often have weak immune systems. Other people can have weak immune systems, too, especially people with any of these conditions:
HIV infe
ction (the virus that causes AIDS)
Substance abuse
Silicosis
Diabetes mellitus
Severe kidney disease
Low body weight
Organ transplants
Head and neck cancer
Medical treatments such as corticosteroids or organ transplant
Specialized treatment for rheumatoid arthritis or Crohn’s disease

to end up this discussion and stop it is summery
Those who have poor health condition has risk
For example HIV + you get some infection that lower more CD4 and immunity you could get active Tuberculosis
But for healthy person how get some infection that lower little bit CD4 and immunity there is no risk for active Tuberculosis
As in all info said that risk group is persons with health condition - no healthy person who get some light infection
Please say shot yes that I m right - and end up this discussion
From CDC page
https://www.cdc.gov/tb/topic/basics/risk.htm
Persons with Medical Conditions that Weaken the Immune System
Babies and young children often have weak immune systems. Other people can have weak immune systems, too, especially people with any of these conditions:
HIV infe
ction (the virus that causes AIDS)
Substance abuse
Silicosis
Diabetes mellitus
Severe kidney disease
Low body weight
Organ transplants
Head and neck cancer
Medical treatments such as corticosteroids or organ transplant
Specialized treatment for rheumatoid arthritis or Crohn’s disease
Yes, your understanding is correct.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
Yes, your understanding is correct.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer. You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

Yes, your understanding is correct.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
Yes, your understanding is correct.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer. You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

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