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Re: HSV - Yeah, but...From: Diana Saari MD (guto0002@tc.umn.edu)Sat Dec 27 06:55:51 2003
At Tue, 23 Dec 2003, Richard Chudacoff, MD wrote: > >I do all three. I want to know if it is a new or old (IgM v. IgG) case, so I >do check antibodies. I still send a culture, but believe it or not, 9/10 >times the culture media is old. I tend to rely more on PCR these days > >-- >Richard Chudacoff, MD > >War is an instrument entirely inefficient toward redressing wrong; >and multiplies, instead of indemnifying losses. >Thomas Jefferson > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne >Bulley, MD >Sent: Monday, December 22, 2003 8:42 PM >To: Multiple recipients of list OB-GYN-L >Subject: HSV > >Ok - I am feeling "behind the times" ... > >My hospital microbiolgoy lab has us use the pink transport media and we >send the HSV out for tissue culture ... > >I am only doing gyn. > >Under what circunstances do you > >1. tissue culture > >2. do serum antibody testing > >3. do PCR (or other) test? > >-- >Joanne Bulley, MD >Keene, NH, USA I tell my patients that Ab testing DOES show that they've seen HSV - somewhere...It's a big deal where, though - diagnosis of cold sores vs. genital herpes. Given that the prevelance of genital HSV I is way on the rise, the specifics of the Ab are not diagnostic.
-- Diana Saari MD guto0002@tc.umn.edu University Specialists in Women's Health Minneapolis, MN
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