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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can It Be Confirmed That Tubercular Lymphadenopathy Is Cured,what Is Duration Of Treatment And Can We Plan A Child?

hi sir ,my wife has tubercular lymphadenopathy in right axilla since june 2012 and she took medicineafter that for 11 months. after completion of course it again reoccured after 2 months and she is again on medicines since march 2013 to till date. pus culture was done in the month dec.2013 and t.b. was detected very low. so sir my question how it will be confirmed that disease is completely cured and how much time duration will be for further treatment and can we plan for child ?
Mon, 22 Dec 2014
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Infectious Diseases Specialist,  's  Response
Thanks for your query at HCM!
According to me either your wife is undertreated which caused relapse or she is a case of Multi-drug resistant TB/ Extensively drug resistant TB.
I suggest get the ZN smear & culture and sensitivity done for Mycobacterium TB by BacT/Alert. Also get the Hains test done to detect resistant to first line or second line TB drugs. Also it can help to identify if she is suffering fro a rare type of TB called Non-tuberculous Mycobacteria (NTM) which requires absolutely different treatment.
Let her treatment be guided by evidence based medicine.
I am sure she will respond.
Visit a pulmonologist/ ID physician for correct dosage of drugs. She will require prolonged treatment based on sensitivity results.
Take care.
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How Can It Be Confirmed That Tubercular Lymphadenopathy Is Cured,what Is Duration Of Treatment And Can We Plan A Child?

Thanks for your query at HCM! According to me either your wife is undertreated which caused relapse or she is a case of Multi-drug resistant TB/ Extensively drug resistant TB. I suggest get the ZN smear & culture and sensitivity done for Mycobacterium TB by BacT/Alert. Also get the Hains test done to detect resistant to first line or second line TB drugs. Also it can help to identify if she is suffering fro a rare type of TB called Non-tuberculous Mycobacteria (NTM) which requires absolutely different treatment. Let her treatment be guided by evidence based medicine. I am sure she will respond. Visit a pulmonologist/ ID physician for correct dosage of drugs. She will require prolonged treatment based on sensitivity results. Take care.