Dr. Julie E Mangino M.D.

Infectious Disease Specialist | Infectious Disease

456 W 10th Ave Columbus OH, 43210 Show map

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About

Dr. Julie Mangino is an infectious disease specialist practicing in Columbus, OH. Dr. Mangino specializes in infections that are difficult to diagnose or unresponsive to treatments, such as HIV or airborne infections from a foreign country. Infectious disease specialists usually work with conditions that are not treatable by a primary physician but it is important to keep contact with the primary physician in order to receive information about the patients history and for deciding which diagnostic tests are appropriate.

Education and Training

Suny-Hlth Sci Ctr At Brooklyn, Coll of Med, Brooklyn Ny 1989

Provider Details

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Dr. Julie E Mangino M.D.

Dr. Julie E Mangino M.D.'s Expert Contributions

My Answers

Syphilis in throat?
Good evening! It is hard to say without knowing your sexual history. Did you have oral sex with a new partner where this could be a new infection? Have you ever had syphilis before, to your knowledge? Is this your first donation and first ever testing for syphilis? The test that was done shows that you have antibodies for syphilis; if you have had syphilis before it may well stay positive. I hope this answers your question. READ MORE
Stomach flu
I am not sure why you have diarrhea alternating with constipation and the duration for this. I would try to eat a balanced diet with oatmeal, fruits and vegetables even out these symptoms. I would not put any probiotics in to your rectum, avoid enemas. If you have constipaton, miralax has worked for some patients. If you have diarrhea, taking in bananas, rice, oatmeal may help control. Avoid all concentrated sweets: candy cake cookies pies and pastries as these can reak havoc on your gut with the high sugar content. READ MORE
Can HIV Patients Receive Cosmetic Botox?
If you are on antiretroviral therapy and your undetectable with good immune response (CD4), you should be able to get botox. Just make sure it is a reputable place ie clean needles and support if you have any untoward side effects. READ MORE
Am I at risk of rabies?
I think you are being very careful which is excellent. I would be sure to wear bug spray (to avoid any insect bites) and do not approach any of these dogs, as you are doing. I doubt that they are cared for with rabies vaccines. If you sustain any sort of a bite, you should immediately request medical attention and presume that whatever wound you have will require oral antibiotics (most likely) and post exposure prophylaxis (prevention) injections for rabies. I think IF the scratches are healing, you are probably OK; if not you should seek medical attention. If you have access to antimicrobial soap, chlorhexidine gluconate, it's pink and doesnt lather well, may want to use that after a regular soapy shower and rinse it off. It has residual antimicrobial properties so even though your skin is dry, it still keeps working. READ MORE
How accurate is a Rapid Hiv Antibody test after 10 weeks and 5 days?
A rapid HIV test from 10 weeks and 5 days from the encounter should be accurate. It may be advisable to go to the Health department or your primary care doctor to get a blood test as well. You may be interested in pre exposure prophylaxis; there are two oral drugs as well as injectables that are very effective to prevent HIV. READ MORE
Possible HIV exposure
It's highly unlikely, especially if nothing was bloody and your skin is intact, no open wounds. However, any time you are cleaning out anything that has been used by others, would always wear gloves. You have nothing to lose as they are cheap and if you are cleaning out a basement or an attic I would also wear an N95 mask. This will help you avoid any fungi or bacteria that may get aerosolized. READ MORE
Baraclude
The best preventive actions against both hepatitis A and hepatitis B is vaccination. Hepatitis A is transmitted by the fecal oral route (ie food workers who inadequately wash their hands, or food sources contaminated by Hep A in restaurants). This is prevented by a two shot vaccine; you get one at time zero and then a second shot at 6 months. Hepatitis B is transmitted by blood primarily ie via transfusions (no transmission in the US as blood is screened for active infections) but could be transmitted if transfused blood in a country where Hep B is endemic. It could also be transmitted by injection drug use and dirty needles. Entecavir/Baraclude is used to treat chronic infections along with tenofavir and lamivudine. It's much better to be vaccinated against Hep B and there is a new and very effective vaccine Heplisav which is also a two injection series at time zero and at just one month. Prevention is the goal with these vaccines. READ MORE
Non reactive Hiv Meaning
Based on the two non reactive test results, you are HIV NEGATIVE, which is excellent news. It's best to know the current status of the partner you are sleeping with and/or ensure condoms are being used if the partner is male. If you resume being sexually active, you may be interested in Pre Exposure prophylaxis, known as PrEP. You take a tablet daily to avoid acquiring HIV. If you do sleep with someone and are potentially concerned about acquiring HIV, I would test sooner than 3 months ( max of 2 weeks) AND especially if you are developing any symptoms; hopefully knowing the status of your sexual partners makes each partner feel more at ease. READ MORE
Can I get rabies from bodily fluids on car (if any) after running over dead raccon?
Seems very UNlikely. I would wash your hands, wash your clothes that touched the car and go ahead and splurge on a drive thru car wash to remove all of the potential residue from the car. I suspect most of the secretions and excretions are UNDER your car. READ MORE
Skin infection
I would present to your primary care doctor. I do not know if it's associated with shaving (an infected hair follicle) or some sort of skin abnormality that is not an infection but associated with an exposure of your skin to a new product, or a lesion that has been there a long time but now that it is bigger it is more noticeable. If your primary care doctor is unsure, a dermatologist may be needed. Your primary care doctor knows what medications you are on that may also potentially be contributing? READ MORE
HIV Transmission
I do not htink you have anything to worry about from that remote encounter. I would however, assuage your fears and get retested. You can go to any HD and ask to be tested for HIV, Hep B and Hep C....and put these concerns to rest. READ MORE
HIV Window Period and Results
AGREE; you should get tested for COVID and flu and if not up to date on those two vaccines, get them next week when you feel better. Vaccination is the best way to protect against resp viruses. Also if you KNOW you had covid within the last 6-12 weeks, it's less likely to be covid and you can wait on the vaccine for a few more months. READ MORE
Worried
I would not worry about this for one more second. Unless you had a lot of open skin cuts, I would not be at all concerned…..even if you did, the risk of any blood borne viruses getting transferred to you is imperceptibly small, ie like zero! Have a great holiday season! READ MORE
Can diseases be spread by sharing dollar bill to snort cocaine
Yes; if you remember when you test for viruses like influenza or Covid, the nasal swab is in the same area that you snorted the cocaine in to. We don't test for the common cold virus but that too is easily transmitted from that body site as well as the hands that transfer the bills. READ MORE
Diarrhea and medication
hello: I feel your pain. I had influenza and fluid behind my ear in 2017 and had similar symptoms of diarrhea from azithro as well as severe 330AM dry heaves. I finished the darn 5 day course but vowed I would never take it again and would never take an antibiotic for "any ear issues" unless i had pain to go along with it. I was not symptomatic from my ear but obviously a lot of nose blowing with influenza, just like with your Covid infection. Sadly, you could get C diff from azithromycin and only 2 days of it; I would give it another 24-48 hrs unless: the diarrhea becomes worse, fever, nausea and unable to hold down food or liquids, vomiting and more than 3 loose stools in a day. And then you need a test....I doubt the diarrhea is from COVID (w/ azithro on board- it hangs out in the system for >60 hrs after the last dose,) so find Covid as cause a little less likely, although some pts get diarrhea with Covid. Are you on paxlovid for the COVID as that can give pts diarrhea too? BUT I would continue that. No antibiotics are Cdiff free, however, in my years of experience, I have not seen C difficile with doxycycline as an antibiotic to remember. Best! READ MORE
How can I treat high blood pressure after the COVID infection?
I am not sure you have already been to a physician or not. Usually, for BP management the very first thing to try is diet. So, a few things to do: if you are overweight, lose weight. Cut out all cakes, cookies, pies, pastries, snack items and sugar laden sodas as every pound you lose will mean your body will have to move less weight through your activities of the day. I have seen a significant decline in blood pressure with a loss of even just 10#. If you drink alcohol daily, limit to 2-3 per week. If you eat processed meats (salami, bologna, ham, bacon), salty chips like doritos, potato chips/pretzels, cut them out as all of these items make your body retain water and fight in your control of blood pressure. Use some salt when you cook and none at the table. Avoid canned vegetables and stick with frozen or fresh which often have zero added salt. Eat eggs, unsweetened cereals, non fat milk, salads and watch the amount of dressing (oil and vinegar are good w/ herbs), and then for dinner a lean protein/meat, starch and vegetable. Eat fresh fruits for dessert as they are plentiful now in the spring and summer and provide excellent vitamins and minerals. READ MORE
Protected sex during chlamydia?
If I am following you correctly, you were positive for Chlamydia, he is negative and he was wearing a condom. The concern would be for YOU to potentially give it to HIM, while you were being treated, as I am unsure if the sexual encounter was on day 1 or day 7 of your treatment course. The rec is to abstain from sex for the 7 days you are on therapy. READ MORE
About HIV?
It's always possible to contract an STD or HIV if the commercial sex worker (CSW) and you had open breaks in their skin, skin lesions or sores. For example, genital herpes simplex virus may get transmitted with genital to genital contact, even with a condom on your penis and it may come to an area around your groin. You would know it as it would be very painful. You can get tested for HIV, with a blood test, and chlamydia and gonorrhea with a urine test and if there were no issues with the condom, this may be less likely. You did not share if you had oral sex with him or her, the mucous membranes of the mouth can also potentially transmit infection. Syphilis is possible as well and you could develop a zit like lesion where the condom was not, if the CSW also had an open lesion. If you frequent CSWs, you may want to consider going on pre-exposure prophylaxis or PrEP. It would be daily truvada (FTC and tenofovir) or descovy (FTC and TAF) or some folks are taking injections such as cabotegravir/Apretude. READ MORE
Can a person's body fight off hepatitis c?
Yes, about half of people who test positive for anti-HCV positive (that is the hepatitis C antibody), do not have a current chronic infection. They may have experienced spontaneous clearance after acute infection. Only those with a current infection with a positive HCV RNA which measures the actual viral load, will need treatment. Factors that are predictive of clearance of HCV include having jaundice- (turning yellow), elevated ALT (a liver test), younger age, being female; being infected with HCV genotype 1; and other specifics that are related to genetics. READ MORE
Can someone with CAEBV get a covid vaccine?
YES hands down! READ MORE