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

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
Cat bite?
It actually sounds pretty benign to me; however, the first 24 hours will tell you a LOT about what's going on. If it progresses run don't walk to the urgent care or ED. You may have more of soft tissue trauma/black and blue, if the cat didn't really break the skin. READ MORE
Chance of getting covid if you were wearing a mask?
I personally think masking, especially with an N95 is the best way to protect yourself against ANY respiratory viruses! If it doesnt bother you continue to wear it especially if you are immunocompromised in any way. READ MORE
Covid contagious?
I do think it is safe to travel; nonetheless, can wear a mask when on public transportation to protect you and your traveling partner from any resp virus infection. an N95 is best. READ MORE
Hepatitis A
Yes most likely as Hep A total includes IgG and IgM; it tells you you are immune. Most likely due to the vaccine. It would also be positive if you recovered from the actual infection. IgM will be positive ONLY if you are acutely ill with hepatitis A, so suspect yours will be negative. READ MORE
Hantaviruses?
Likliehood of hantavirus is greatly dependent on your geography. Different mice carry the virus in southern florida, western US etc. It is pretty rare; transmission occurs when direct or indirect (airborne) contact is made with the saliva or waste products of rodents that carry the virus, most commonly the deer mouse (Peromyscus maniculatus). Initial symptoms may include fever, muscle aches (myalgias), headache, cough, and/or difficulty breathing. Symptoms progress rapidly, and abnormally low blood pressure (hypotension), shock, and/or respiratory failure may occur. My best advice, (even to my own husband in OH) is to always wear a mask when you clean out the shed, the garage etc. There are other viruses that mice also carry that can lead to infections. READ MORE
Moderna Covid 19 Vaccine?
I am unable to explain why the magnet stuck to the injection site; however, I would start on the COVID 19 vaccine series ASAP. With an autoimmune disorder you are at a higher risk of a worse outcome if you do contract Covid. If you've already had COVID, it is still best to complete the vaccine series and get a booster. READ MORE
Vaccine Differences?
I am aware of this difference and read with interest all of the original studies. It was amazing that both Pfizer and Moderna reported 95% initial efficacy and safety. I believe the Moderna used a higher dose as it was to be packaged in more of a lipid/fat carrier molecule. I do believe it's most important to get whichever vaccine is available and mixing of the mRNA vaccines is now being readily done. READ MORE
Worried?
Mucous membrane exposures have a much lower risk than blood to blood but far from zero. I would get tested as soon as possible for HIV and also gonorrhea and chlamydia which could also lead to eye involvement. Health department, urgent care and community centers or your own MD would be good places to go. READ MORE
Cat bite?
please go to an urgent care/immediate care clinic as soon as possible. Cat bites are often quite deep and antibiotics are often strongly recommended. Wounds can implode over night. READ MORE
What safety measures should we take to keep all of us safe?
Especially if you are no longer symptomatic, you are not likely to be infectious. Despite this, if both you and your dad wear a good N95 mask when you are exchanging groceries, you should be safe at this point. Obviously washing your hands pre and post your unpacking groceries and being with your dad also ups the safety factor. READ MORE
Needle stick injury?
I think you should be ok and would not worry. I suspect you are immune to Hep B, surface Antibody detectable- which is always a good status to know. I think I would reach out to your local veterinary clinic to be sure there is nothing I dont know about from dogs. Best! READ MORE
How long does covid last?
It can drag on for 2/3 weeks. Keep drinking plenty of fluids water, non calorie beverages and try to get out and walk in tbe outdoors. Tylenol or if permitted ibuprofen may help w the HA. Its too late in covid course for paxlovid. Julie READ MORE
Hiv Transmission
From the CDC website: Blood must come in contact with damaged tissue or be directly injected into the bloodstream (from a needle or syringe) for transmission to occur. So did the barber use an alum block *that was disinfected in between customers*? I am unfamiliar w/ the texture of alum so I think a bleach wipe may be a good way to disinfect it in between customers. Alum helps to close up the skin so, suspect the risk is low w/ a very small area of your open skin, but the volume of blood on the alum may not be zero if it's not disinfected properly and blood-borne (HIV, hepatitis C, and hepatitis B) viruses could potentially be transmitted if there is blood. I do not believe alum has antiviral properties. I think it's safest if someone has a nick to provide pressure w/ an new alcohol wipe (like what is used to clean your skin prior to a blood draw)-as a quick kill disinfectant to the skin and the small nick should close on its own and be provided a bandaid if needed. If you want to use your own alum stick/block or styptic pencil at home just for you that's fine. (For these types of cases, w/ a small volume of potential blood and a small non-severe open area and not a hollow bore (ie blood inside) needle, no post-exposure prophylaxis/PEP for HIV is recommended since 2005 for unknown source exposures- and yours would be an unknown source. I hope this leaves your fear, however, if it does not, get HIV/Hep C tested today, abstain from any/all risky non-condom sexual encounters (oral, anal receptive, or insertive), and get re-tested again in 2-3 weeks. I assume you are immune to Hepatitis B as every US kid is vaccinated since the early 1990s. If unknown, check for hepatitis B surface antibody as well. If not immune to hep B, do get vaccinated; there is a vaccine that is new and requires only 2 doses separated by one month/ helical. READ MORE
Exposure to Covid-19?
If I am following the dates you provided, you were exposed to a pt who tested pos for COVID 11 days AFTER your exposure in December 2021. No, you do NOT need to be tested. READ MORE