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What Does My Lab Test Result Indicate?
Question: Doc, you were advising me about my lesions on shoulder and back, now the lesions have subsided on shoulder though they still remain on back.. On the back around 75% lesions are also going, though in a week 2 to 3 new lesions still appear on the back.
I was having HSV 1 positive in my test result and was put on Herparex 400'course for 10 days... Which got over 20 days before... And for last 15 days seems have developed urticaria which goes with 1 tab of Allegra 180 every other day.
I hope you recollect now...
Have seen skin specialist last week but he is stating don't worry about Hsv as medicines have been given. What I have is recurrent folliculitis and his assessment is that I have too many body hair which is making it difficult to be corrected too fast.
When I read on Internet it also suggests in some cases hiv also shows up as folliculitis though have no other symptom, my doctor suggested ignore this thought and focus on folliculitis treatment only... These lesions are going on 3 months now...
Do I need to do any other tests... And from where I can get it done if my skin specialist does'nt ask for that... I asked for smear test with Srl diagnostics but they did not know what is this test and how it can happen...
Look forward to your advice.
Now my skin specialist has put me on R Cin 600 for 10 days... Not sure what this is for..
I was having HSV 1 positive in my test result and was put on Herparex 400'course for 10 days... Which got over 20 days before... And for last 15 days seems have developed urticaria which goes with 1 tab of Allegra 180 every other day.
I hope you recollect now...
Have seen skin specialist last week but he is stating don't worry about Hsv as medicines have been given. What I have is recurrent folliculitis and his assessment is that I have too many body hair which is making it difficult to be corrected too fast.
When I read on Internet it also suggests in some cases hiv also shows up as folliculitis though have no other symptom, my doctor suggested ignore this thought and focus on folliculitis treatment only... These lesions are going on 3 months now...
Do I need to do any other tests... And from where I can get it done if my skin specialist does'nt ask for that... I asked for smear test with Srl diagnostics but they did not know what is this test and how it can happen...
Look forward to your advice.
Now my skin specialist has put me on R Cin 600 for 10 days... Not sure what this is for..
Brief Answer:
I suggest a body wash and also another antibiotic in addition to R-Cin
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed your previous discussions.
Recurrent boils over back also necessitates that you use an antibacterial cleanser or wash.
Therefore I would suggest you to use a benzoyl peroxide wash e.g Brevoxyl 4% Creamy Wash. Use it for your back and shoulder, just like you would use a soap, for bath.
R-cin is rifamipicin and it is an oral antibiotic. It is one of the drugs prescribed for those who have resistant or recurrent folliculitis.
However, Rifampicin is not given alone Or else bacteria may become resistant to it. Rifampicin is usually combined with another antibiotic e.g a penicillin or cephalosporin--If I was the treating doctor I would have suggested you to either add Augmentin (amoxicillin+clavulanic acid) 625 mg three times/ day for a week Or Phexin- BD (Cephalexin) 750 mg twice daily for a week along with Rifampicin.
These are all prescription antibiotics and I suggest that you take these in complaince with your doctor.
You may ask for a 'Pus culture Sensitivity test' from SRL lab. They would take a sample/ puc from one of the skin lesions. This test is to be done before you start any antibiotics and would attempt to isolate causative bacteria and determine its antibiotic sensitivity.
Regards
I suggest a body wash and also another antibiotic in addition to R-Cin
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed your previous discussions.
Recurrent boils over back also necessitates that you use an antibacterial cleanser or wash.
Therefore I would suggest you to use a benzoyl peroxide wash e.g Brevoxyl 4% Creamy Wash. Use it for your back and shoulder, just like you would use a soap, for bath.
R-cin is rifamipicin and it is an oral antibiotic. It is one of the drugs prescribed for those who have resistant or recurrent folliculitis.
However, Rifampicin is not given alone Or else bacteria may become resistant to it. Rifampicin is usually combined with another antibiotic e.g a penicillin or cephalosporin--If I was the treating doctor I would have suggested you to either add Augmentin (amoxicillin+clavulanic acid) 625 mg three times/ day for a week Or Phexin- BD (Cephalexin) 750 mg twice daily for a week along with Rifampicin.
These are all prescription antibiotics and I suggest that you take these in complaince with your doctor.
You may ask for a 'Pus culture Sensitivity test' from SRL lab. They would take a sample/ puc from one of the skin lesions. This test is to be done before you start any antibiotics and would attempt to isolate causative bacteria and determine its antibiotic sensitivity.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for your response doctor. In fact lesions have decreases and none have pus at the moment, so can't do pus culture sensitivity test....
Have taken 10 day course of r cin 600gm, do I repeat that with augmentin.
Have taken 10 day course of r cin 600gm, do I repeat that with augmentin.
Brief Answer:
I suggest you just use a benzoyl peroxide body wash
Detailed Answer:
Hi.
Ok. No. I won't sugest you to repeat now that they have resolved. I would just suggest you to use a benzoyl peroxide wash (Brevoxyl Creamy wash), regularly, as suggested earlier.
Folliculitis is not a Hiv specific condition and can happen otherwise as well, therefore there is nothing to worry about Hiv, just because you have folliculitis lesions.
The suspicion for Hiv would arise only if there is a relevant past history e.g a risky sexual encounter. An antibody based screening test for Hiv performed 12 weeks/ 3 months after the last sexual encounter is an ideal way to document or rule out this possibility i.e it is conclusive of Hiv status, provided there were not any other risky sexual encounters that were within the last 12 week period preceding the test.
Regards
I suggest you just use a benzoyl peroxide body wash
Detailed Answer:
Hi.
Ok. No. I won't sugest you to repeat now that they have resolved. I would just suggest you to use a benzoyl peroxide wash (Brevoxyl Creamy wash), regularly, as suggested earlier.
Folliculitis is not a Hiv specific condition and can happen otherwise as well, therefore there is nothing to worry about Hiv, just because you have folliculitis lesions.
The suspicion for Hiv would arise only if there is a relevant past history e.g a risky sexual encounter. An antibody based screening test for Hiv performed 12 weeks/ 3 months after the last sexual encounter is an ideal way to document or rule out this possibility i.e it is conclusive of Hiv status, provided there were not any other risky sexual encounters that were within the last 12 week period preceding the test.
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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