Dr. Paul W. Koch M.D.

IntroductionCat scratch fever or cat scratch disease is a bacterial infection spread by cats. You can get the cat scratch fever from a scratch or bite of a cat that is infected with the bacterium called Bartonella henselae. Aside from the infected cat’s scratch, you can also acquire the infection...

What is encephalitis?Encephalitis means inflammation of the brain. Fever, headache, and joint pain are often experienced in the early stages of encephalitis. Other severe symptoms may develop over some days or hours. They include personality changes, seizures, disorientation, confusion, or...

Leukocyte Esterase Urine TestLeukocyte esterase (LE) is an esterase produced by white blood cells (WBCs) or leukocytes. A leukocyte esterase test is a urine test used to detect the presence of white blood cells and other health conditions associated with infection.Normally, leukocyte esterase...

OverviewA transient ischemic attack (TIA) is a mini-stroke, which only lasts for a few minutes. It occurs when blood stops flowing to a part of the brain for a short time. The symptoms of TIA are similar to other symptoms of stroke, but they do not last long, so TIA does not lead to permanent...

Uncontrollable shivering is characterized by the rapid shifting between muscle relaxation and contraction. It is through these contractions that the body warms itself up when exposed to cold. Shivering is not always accompanied by fever. In some cases, shivering may occur before the onset of...

What is Reye’s syndrome?Reye's syndrome is a rare but serious condition that can cause swelling of the liver and brain. Even though this condition can occur at any age, it is mostly reported to affect children and teenagers, especially those who are trying to recover from viral infections, such as...