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Chronic Cough With Swollen Lymph Nodes In Neck, High Fever, Chills And Sweats. Any Diagnosis ?
hi doctor i am 23 years old male and i have chronic cough since more than a year as well as swollen lymph nodes since 3-4 years on left side of the neck..its almost been more than a month im suffering from chills and high fevers and heavy sweating after i take paracetamol..i went through fnac of one of the swollen nodes and according to the report it i have lymphadenitis tuberculosis..the chest xray is normal..i wonder why do i have chronic cough..the cbc shows low heamoglobin i.e 12 and high esr i.e 66. the swollen nodes are abt 8 to 9 in number. please advice what could be possible medical conditions for the same. Should i consider fnac report as final conclusion or are there any further tests i can go for. Looking forward for ur advice and suggestions.
Wed, 5 Jun 2013
HI
Thank you for your query.
Dear sir,
Looking into what history you have provided all your complaitnts are consistent with diagnosis of Tubercular lymphadenitis . FNAC lymph node gives reliable diagnosis plus you have symptoms favouring that .ESR is also favouring the diagnosis of tuberculosis . You havent mentioned about the lymphocyte count in yor CBC .You can consult a physician and get further evaluated by tests like , Mantoux test , TB GOLD quntiferon ssay and if your doctor feels Biopsy of lymph node may be planned .
I think you should consult doctor at earliest and if he feels should start treatment with anti tubercular drugs at earliest.
If you have further queries feel free to ask.
Take care.
Dr Shruti
Thank you for your query.
Dear sir,
Looking into what history you have provided all your complaitnts are consistent with diagnosis of Tubercular lymphadenitis . FNAC lymph node gives reliable diagnosis plus you have symptoms favouring that .ESR is also favouring the diagnosis of tuberculosis . You havent mentioned about the lymphocyte count in yor CBC .You can consult a physician and get further evaluated by tests like , Mantoux test , TB GOLD quntiferon ssay and if your doctor feels Biopsy of lymph node may be planned .
I think you should consult doctor at earliest and if he feels should start treatment with anti tubercular drugs at earliest.
If you have further queries feel free to ask.
Take care.
Dr Shruti
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Hello
Thanks for visiting healthcaremagic
The enlarged cervical lymphadenitis on left side only are discrete ,not matted during 3-4 years not suppurated is the against for extra pulmonary TB.There is no evidence for other organs affected/
The chronic cough more than one year should be ruled out if any tumours in throat and upper chest area.you have to undergo HIV Test also. Kindly consult a local ENT DOCTOR ALSO.
Thanks for visiting healthcaremagic
The enlarged cervical lymphadenitis on left side only are discrete ,not matted during 3-4 years not suppurated is the against for extra pulmonary TB.There is no evidence for other organs affected/
The chronic cough more than one year should be ruled out if any tumours in throat and upper chest area.you have to undergo HIV Test also. Kindly consult a local ENT DOCTOR ALSO.
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