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Sputum culture for tuberculosis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hello doctor
I had a mantoux tets which tetsed positive and induartion was 32 mm. Moreover doctor who checked my ct said it is TB . I did not do a broncoscopy. How can i be sure it is TB indeed

Doctor :   Hi
User :   i had brethlesness and severe weight loss too
Doctor :  
Let me read it
Doctor :   Ok
User :   the swelling on my hand is still there and i have started TB medicines
User :   last 2 days
Doctor :  
Now just by Tuberculin test, we cannot decide it to be TB
Doctor :  
but your doctor has taken other features into consideration
User :   yes
Doctor :  
and has then made a diagnosis
User :   we did CT
User :   scan
User :   yes sure
Doctor :  
like loss of weight, fever, cough, etc
Doctor :  
CT of the chest?
User :   one minute brb
User :   sorry
User :   yes i had dry cough
Doctor :   No problem

Doctor :  
User :   and sometimes with phlegum last 8 months
Doctor :  
User :   so i wanted to know if i shd anyways do a brocoscopy
User :   or wait as the dcotor says for
User :   2 months
User :   he is sure its not cancer
Doctor :   Bronchoscopy is for culture

User :   two radilolgists ruled it out
Doctor :  
Culture is essential for confirmation of TB
User :   ok
Doctor :  
Have you got a sputum analysis done?
User :   no
Doctor :   Ok

Doctor :  
You are not getting sputum, right?
User :   he said to have the medicines for a month and if i find releif
User :   i am getting
User :   sputam
Doctor :   Thats not the right method

Doctor :  
I suggest you to get a sputum analysis and a culture done
Doctor :  
it is the most specific method
User :   how long will it take for sputam analyssis
Doctor :  
but till you get the results continue with the current treatment
User :   ok
Doctor :  
unless indicated to change after getting the result
User :   how long will it take
Doctor :  
Sputum analysis can be done in a day
User :   ok
Doctor :  
Culture takes 3 days minimum
Doctor :  
and for report it takes 4 days totally
User :   culture of the sputam
User :   is it
Doctor :  
User :   ok can i take it in any lab
User :   myself
Doctor :  
Also a Chest x-ray is also a very good method for diagnosis
User :   or do i need a precription
User :   i did
User :   a chest xray
User :   3 infact
Doctor :  
Yes you can get it done, but requires expertise of lab personnel
Doctor :  
User :   after that only i took a ct
Doctor :  
what it indicated?
User :   because doc was doubtfu;
User :   shadows
Doctor :  
User :   so shd i cont the medicines
User :   they have given me four drugs
Doctor :   Ya that is fine

User :   one drug is 1.5 mg that is 750 mg 2 tablets
User :   tght it was too musch
User :   much
Doctor :   Correct, that is the right regimen

Doctor :  
treatment is good
Doctor :  
diagnosis I would like you to confirm
User :   ok im surprised why such a big hosp dint ask me for sputam test
Doctor :   Ok

Doctor :  
I cannot comment on that
Doctor :  
Sputum culture is very essential for confirmation of infection
User :   no [robs will lister do it
User :   problem
Doctor :   Ok

Doctor :   Is there any thing else I can help you with?

User :   how shd i ask for the test
User :   i mean
Doctor :   Ask for sputum culture
User :   how can i get the precription
Doctor :  
You can ask for it in the lab
Doctor :   Do you have any other queries?

Doctor :  
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