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07 Feb 2003

Heart complications and Coxsackie virus
Dear Cyberdoc

Heart complications due to influenza (1995) and now diagnosed with a coxsackie virus. permanently exhausted. What is this and what do I do to recover QUICKLY. Should I change diet and take vitamins?
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Expert
CyberDoc
CyberDoc

01 Jan 0001

Maalie, the first thing to do is to find out why you’re exhausted. It’s more likely to be due to the heart problems than the Coxsackie virus.
The Coxsackie viruses are a group of viruses that cause a host of different diseases. They are divided in two groups namely A (23 types) and B (6 types).
Coxsackie viruses cause the following syndromes:
1. Aseptic meningitis.
2. Bornholm disease.
3. Bronchitis.
4. Conjunctivitis.
5. Gastroenteritis.
6. Hand-foot-and-mouth-disease.
7. Herpangina.
8. Myocarditis (heart muscle inflammation).
9. Paralysis.
10. Pericarditis (heart sack inflammation).
11. Skin rashes.
As you can see, saying that you have Coxsackie virus doesn’t say much. Another thing is that most adults have been exposed to Coxsackie viruses, so to make the diagnoses you have to isolate the virus or prove the presence of IgM antibodies. Most infections will clear up by them selves and only supportive treatment is necessary.
At this stage the topic of discussion is not what treatments should be used, but whether this diagnosis isn’t used as a “waste basket” diagnosis and that a lot of people are diagnosed with it due to a lack of insight/knowledge on the doctor’s part. It is now recommended that a whole battery of tests be done. These tests include a full blood count, Erythrocyte Sedimentation Rate, ALT, total protein, albumin, alkaline phosphatase, calcium, phosphate, glucose, blood urea nitrogen, electrolytes, thyroid stimulating hormone and a urinalysis. If all these tests come up negative, the diagnosis is made and reviewed every 6 months. The bad news is that no treatment has been proven to be 100% effective, but the good news is that full recovery is eventually possible in almost all cases. Good luck.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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