Neck pain with normal MRI, RHEUMATOID FACTOR, CRP. ARTHRITIS?

Resolved question:
I am 26 year female, suffering with neck pain, taken MRI , result is normal , urine routine pus cells are plenty, urine culture it's normal , and taken d3 level is 11, and now doctor suggested to take blood test for arthritis , results are rheumatoid factor is <29.0 IU/ml
C-reactive protein 0.43
Antistreptolosin o 165.0

WBC
Polymorphs 78%
Lymphocytes 20%
Eosinophils 0%
Monocytes 12mm

I need suggestion for my report please

Submitted: 4 Days
Category: Infectious Disease Specialist

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
HSV-2 mainly causes genital herpes which presents with genital rash and painful sores as the primary infection. If treatment with Acyclovir or Valacyclovir is initiated as soon as possible, the infection can be controlled and it will also prevent recurrences in the future.
It is a chronic infection and can also recur in the future during episodes of stress, other concurrent infections, fever ( e.t.c ). Most carriers get around 1-2 outbreaks every year, but again Acyclovir therapy enhances speed of recovery.
So consult your local physician and get prescription for Acyclovir. And start the treatment as soon as possible.
Feel free to discuss further,
Regards.

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Patient replied :

SHE is on VAltrex.is that okay? do you die from this? does is spread to the brain and you die?



Expert:  Dr. Jaydeep Tripathy replied 3 Days.

Hello,
Yes Valtrex is a good choice.
So she already has been put on appropriate medicine, so there is nothing to worry about.
Do not worry about it getting widespread, that only happens in severely immuno-compromised people and those who do not take medicines. And no it can't spread to brain. 10-15 % of US population has HSV-2 and around 30 % adult population has HSV-1, they have been able to suppress the disease completely with their natural immunity.
Kindly do not worry.
Regards.

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