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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can TB Reoccur?

My dad had undergone 6 months medication for tuberculosis 4 years ago and few weeks before he got severe cough and fever. I got worried so I send him to the hospital. He did chest x ray twice . The result says that there are fibrohazed densities in the right upper lobe and hazy densities in the right lower lobe. Impressions: minimal PTB right upper lobe and pneumonia right lower lobe. His doctor prescribed a medicine for 6 month medication same as what he prescribed before but what he said is it seems that the TB occurred again. To get a free medicines we went to a local health unit but when they test his saliva, he said that he was negative on TB? What was result means? Does his disease re occur?
Mon, 15 Dec 2014
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Pulmonologist 's  Response
Yes TB can reoccur.
However both the doctor who prescribed tuberculosis treatment without doing a sputum test and the health unit who ended up doing test of saliva are wrong.
What your dad needs to do is to give a proper sputum sample and not saliva for the test. If he is bringing out some amount of sputum, then a better test to do will be GENEXPERT/RIF test for tuberculosis.
If he is not bringing any sputum then u need a HRCT to confirm the lesions seen on Xray chest are new or old
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Can TB Reoccur?

Yes TB can reoccur. However both the doctor who prescribed tuberculosis treatment without doing a sputum test and the health unit who ended up doing test of saliva are wrong. What your dad needs to do is to give a proper sputum sample and not saliva for the test. If he is bringing out some amount of sputum, then a better test to do will be GENEXPERT/RIF test for tuberculosis. If he is not bringing any sputum then u need a HRCT to confirm the lesions seen on Xray chest are new or old