What is the treatment for Epstein-Barr and Cytomegalo Virus (CMV) Simultaneously?
Patient: I am a nurse case manager, following a child with newly dx d CMV and reactive lymphadenitis. Also with longterm elevated leads which have not dropped down adequately despite multiple short runs q2mo of chelation. Are these dxs the reasons why his body is holding on to the lead? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Oral Valganciclovir for CMV infection. It looks like patient may have a coexisting chronic lead poisoning blood levels more because of slow redistribution of lead from bone to soft tissues, which may elevate blood lead concentrations for months to years. If blood levels are more than 70 ug/dL, it’s an acute emergency.If blood levels are more than 45 ug/dL to 69 ug/dL take only Calcium Disodium Edetate, if rebound blood levels are more than 45 ug/dL you can repeat after 5 days. If levels are between 25 and 44, chelation therapy is not required but have to be monitoredI have answered your query. Let me know if I can assist you further.Regards,Dr. Shivtej N