Dr. Seikhoo Bishnui
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
A few weeks back, while I was having a haircut at my salon, the hairdresser used a trimming machine after cleaning the trimming machine with a brush. While he was trimming my hair at the backside, he noticed I had a minor skin allergy on the scalp, but he continued the hair trimming. While trimming the allergic scalp skin, no cut or bleeding occurred. However, after returning home, I noticed a mild burning sensation while taking a shower. In addition, I noticed pink skin on the allergic scalp area after a shower. I would like to know if there is a risk of hepatitis C infection from this incident. Does hepatitis C spread through instruments used for hair cutting? Should I need to perform hepatitis C antigen or antibody screening testing due to this incident? Should I be worried about hepatitis C infection, as there is no cure for hepatitis C?
Thank you.
Hello,
Welcome to icliniq.com.
Hepatitis C virus (HCV) can spread by infected razors but whether the razor or trimmer was infected is a question. The risk with trimmers is very low, and it is impossible to transmit the HCV by trimmer unless it has infected blood over it that was not dried. So you can remain relaxed. No need to go for any test.
Thank you.
Patient's Query
Thank you doctor for the reply,
Yesterday I had my dental implant procedure performed for my right side last lower molar. The procedure went well. While the dentist performed the implant, he also performed a minor bone graft as I did not have much bone. The doctor used a white bone-like substance and mixed it with another substance to finish the bone graft. The doctor mentioned it is natural bone. I have a few queries. Since it is natural bone, is it from another human donor bone? Is there any chance that the bone powder will contain contagious diseases like HIV or hepatitis?
Thank you.
Hello,
Welcome back to icliniq.com.
No, it is not possible to get an infection from implants as they are sterilized before packing.
Thank you.
Patient's Query
Thank you doctor for the reply,
I would like to know about the bone grafting procedure that was performed. The doctor mentioned that it was a natural bone. Is there any chance of HIV or hepatitis virus infection? Can these infections be transmitted via the bone grafting material used? And since it is natural bone, does this bone material come from other human beings? How are these bone materials verified for any viral infection? Please, advise on the bone grafting material.
Thank you.
Hello,
Welcome back to icliniq.com.
As I mentioned, any implant or bone grafting material is sterilized before making this suitable for human use. So there is no possibility even remotest to get HIV or HCV transmission by these materials. Secondly, the dried bone mineral powder is used for implants, and in dry media, HIV or HCV virus cannot survive. So no risk at all. Finally, the bone materials are tested before their use for any infection, and testing for HIV, HCV, and HBV (hepatitis B) is done compulsively.
I hope this clears the doubt.
Thank you.
Patient's Query
Hello doctor,
Thank you for your response.
Does the raw bone material go through many heat processing and machining procedures to convert to mineral powder? And also, the sterilization process involves treating the bone material with extreme heat and cold.
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, the material is subjected to high temperatures and made sterile. At this temperature, no virus can survive. So no need to get worried.
Thank you.
Patient's Query
Thank you doctor for the reply,
I need your quick response regarding my Hepatitis C test report, which is attached. Please advise me if the report indicates negative results for Hepatitis C.
Hello,
Welcome back to icliniq.com.
The result is negative; it is non-reactive.
Thank you.
Patient's Query
Thank you doctor for the reply,
I was recently diagnosed with diffuse large B-cell lymphoma following an abdominal biopsy. I have read that HIV infection can sometimes be a cause of B-cell lymphoma. However, my HIV 4th Generation and other STD reports have consistently shown negative results over the past year. I have not engaged in any high-risk behavior. I have attached my latest HIV report, which was conducted last month. I would like to know if HIV infection could have been a factor in my development of B-cell lymphoma. I underwent several STD screening tests throughout the past year, and all my reports have been negative. They remain negative even now. I am a bit confused and would appreciate your advice. I have also attached my latest STD reports and my IHC (immunohistochemistry) report for your reference.
Thank you.
Hello,
Welcome back to icliniq.com.
If the test is negative, then HIV is not the cause. You are safe in terms of HIV. Please try to stay relaxed. The thyroid report is also normal. Focus on receiving appropriate treatment for diffuse large B-cell lymphoma, and do not dwell on HIV.
Thank you.
Patient's Query
Thank you doctor for the reply,
I have undergone several repeat tests for all STDs over the last few months due to an incident involving a massage girl last year. There was no penetrative sex, kissing, or oral sex involved in the incident. All my STD reports have consistently come back negative. Unfortunately, I was diagnosed with diffuse large B-cell lymphoma last week. I have read on the internet that diffuse large B-cell lymphoma can be caused by the Epstein-Barr virus. I would like to know if the Epstein-Barr virus can indeed cause diffuse large B-cell lymphoma. Additionally, I am curious to know if Epstein-Barr virus infection is common in my place. Lastly, could you please advise if testing for the Epstein-Barr virus is included in the standard list of screenings for STDs? Your guidance would be greatly appreciated.
Hello,
Welcome back to icliniq.com.
Yes, it could be one of the reasons for diffuse large B-cell lymphoma. No, Epstein-Barr virus (EBV) is not very common in your area compared to Western countries. Testing for EBV is not included in routine STD screenings. It is important to note that EBV is not primarily transmitted through sexual contact; it can also be spread through non-sexual routes. Therefore, it is not considered in routine STD screens.
Thank you.
Patient's Query
Thank you doctor for the reply,
What are the non-sexual routes through which the EBV virus can spread? Does a current EBV infection cause diffuse large B-cell lymphoma or is it related to a latent infection? I have never experienced any symptoms of an EBV infection over the past few years.
Hello,
Welcome back to icliniq.com.
The spread occurs through the transfer of fluids, which could be through sexual contact, kissing, and even rarely by sharing drinking glasses, blood transfusion, organ transplants, etc. Mostly, latent infections are associated with causing lymphomas. EBV can also cause febrile illnesses that can last for an extended period.
I hope your queries are resolved and any further queries are welcome.
Thank you.
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Psychiatry
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