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What Do These Following Lab Reports Indicate?
Question: I was suffering from cough for a long duration now which is around 45 days now. Added to it i faced breathlessness too but not that much. On Initial visit to doctor , he told me bronchitis as he heard wheezing and gave few medicines but problem remained same. He then told to get chest X-ray, PFT and FeNo based on which he observed slight shadow in X-ray and asked to get HRCT-Thorax done. HRCT-thorax showed that there are discrete mediastial nodes. Doctor further told to get Ige and ACE and IGRAs also mantoux tests based on which he is saying its Tuberculosis.
Now next he is suggesting to get FOB+Ebus done so that he can be more sure and also to get to know what type of TB is it (Reactive or not). If I remember correctly he said he want to make sure if its some MDR or not.
On second opinion with another doctor I was told to skip This test and directly start taking TB medicine. I am now more confused after second opinion.
My question is :
1) Is it really required to go for FOB+Ebus?
2) Is this procedure risky?
3) What to expect if do not get FOB+Ebus?
I am attaching a pic of all the reports. Kindly help, thanks in advance!
Now next he is suggesting to get FOB+Ebus done so that he can be more sure and also to get to know what type of TB is it (Reactive or not). If I remember correctly he said he want to make sure if its some MDR or not.
On second opinion with another doctor I was told to skip This test and directly start taking TB medicine. I am now more confused after second opinion.
My question is :
1) Is it really required to go for FOB+Ebus?
2) Is this procedure risky?
3) What to expect if do not get FOB+Ebus?
I am attaching a pic of all the reports. Kindly help, thanks in advance!
Brief Answer:
FOB and EBUS are not must in your case.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
You are having mediastinal Lymphadenopathy.
Most common cause for this is tuberculosis.
Other causes are sarcoidosis, histoplasmosis an rarely cancer.
On the seeing your age and reports, possibility of tuberculosis is more.
And we are living in TB endemic country (India). So tuberculosis should b first think of in your case.
So FOB EBUS is not must for your case. It I not really mandatory. Yes, FOB EBUS is risky procedure.
You can start empirical anti tubercular drugs according to weight. Usual duration is 6 months but in mediastinal Lymphadenopathy, we give longer duration of treatment (10 months).
If it is drug sensitive tuberculosis then no getting EBUS won't make any difference. And possibility of drug sensitive tb is more in your case.
So no need to worry much. Start empirical anti tubercular drugs without doing FOB EBUS.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
FOB and EBUS are not must in your case.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
You are having mediastinal Lymphadenopathy.
Most common cause for this is tuberculosis.
Other causes are sarcoidosis, histoplasmosis an rarely cancer.
On the seeing your age and reports, possibility of tuberculosis is more.
And we are living in TB endemic country (India). So tuberculosis should b first think of in your case.
So FOB EBUS is not must for your case. It I not really mandatory. Yes, FOB EBUS is risky procedure.
You can start empirical anti tubercular drugs according to weight. Usual duration is 6 months but in mediastinal Lymphadenopathy, we give longer duration of treatment (10 months).
If it is drug sensitive tuberculosis then no getting EBUS won't make any difference. And possibility of drug sensitive tb is more in your case.
So no need to worry much. Start empirical anti tubercular drugs without doing FOB EBUS.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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