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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed For PTB Activity

my husband was diagnosed of PTB activity undetermined his Dr. from his pre-med told him to take 4 capsules of myrin p forte 30 min. before a meal everyday but after taking the capsules for almost 1 month we decided to check another dr. for radiologist and examined his x-rays told us that his ptb is stable and don t have to take treatment is there any possibilities that the 1 month of taking myrin p forte affects his body or triggered the PTB ?
Tue, 20 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Any lung insult either tuberculosis or pneumonia or trauma after treatment show healing.
And healing occur by any of the following mechanisms.
1. Fibrosis.
2. Calcification.
3. Rarely complete resolution.
Fibrosis and calcification are ore common and produce scar tissue which is visible on chest x ray.
So your husband's previous x ray may showed old fibrotic lesion. In this scenario activity of lesion is determined by sputum examination for AFB. So for your current situation I advice you to consult pulmonologist and get done
1. CT thorax
2. Sputum examination for AFB
3. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis for TB.
CT gives much better idea about fibrotic lesion than chest x ray.
BAL is far superior than sputum in detecting AFB.
If all are negative than no need to worry for tuberculosis. The lesions on chest x ray are just inactive scar.
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Diagnosed For PTB Activity

Thanks for your question on HCM. I can understand your situation and problem. Any lung insult either tuberculosis or pneumonia or trauma after treatment show healing. And healing occur by any of the following mechanisms. 1. Fibrosis. 2. Calcification. 3. Rarely complete resolution. Fibrosis and calcification are ore common and produce scar tissue which is visible on chest x ray. So your husband s previous x ray may showed old fibrotic lesion. In this scenario activity of lesion is determined by sputum examination for AFB. So for your current situation I advice you to consult pulmonologist and get done 1. CT thorax 2. Sputum examination for AFB 3. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis for TB. CT gives much better idea about fibrotic lesion than chest x ray. BAL is far superior than sputum in detecting AFB. If all are negative than no need to worry for tuberculosis. The lesions on chest x ray are just inactive scar.