Dr. Darrell C. Sandel M.D.

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...

IntroductionThe only way to prevent serious and life-threatening diseases such as meningitis is through vaccination. Meningitis can also be caused by viral, bacterial, and fungal infections. The infection usually affects the meninges or membranes that enclose the brain and spinal cord. Although...

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...

Almost every cell in the body has a primary source of energy, which is usually glucose. However, when the body doesn't have enough glucose, the liver responds by producing chemicals known as ketones, converting stored fatty acids into ketone bodies. Ketones are used as a backup fuel source when...

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...

Introduction Chikungunya is a viral infection that is transmitted by mosquitoes. The chikungunya virus causes a sudden onset of fever along with severe joint pain. The illness is not considered as contagious, but in rare instances, the virus can get transmitted through contact with a person's...