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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Neck Pain, PPD Puncture Site Looked Red, Painful Gland. Taken Egithromycin. Suggest?

hello,i have a left neck pain 1 yr ago(in nepal) i took egithromycin antibiotic for 1 week it was ok that time ..now again i have a same place problem in usa , i went to the clinic and dr give antibiotic for 10 days 2 week ago i feel little bit ok .due to my clinical field i have to do tb test and result will come tomorrow. ppd puncture site look like red as well as it is becoming widening too. now i can easily feel lt side gland as well as it is paining too. i am afraid that i have a gland tb what should i do in this condition i dont have any insurance
Tue, 2 Jul 2013
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  User's Response
Hi
PPD result depend upon total induration area, again other test are also required to confirme the final diagnosis, the mantoux test is not the sole criteria for tubercular infection moreover the MT test in elderly patient is not much reliable, the Technic and administration with proper dose of ppd are also great matter, in your case , first thing you getting the partial relived with antibiotic but you again got the same complain it means that the infection does not autolysed completely , now biopsy is only gold test you have, & this will clear over all picture, the further management are entirely depend upon histopath. test, take good care of your self.
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Neck Pain, PPD Puncture Site Looked Red, Painful Gland. Taken Egithromycin. Suggest?

Hi PPD result depend upon total induration area, again other test are also required to confirme the final diagnosis, the mantoux test is not the sole criteria for tubercular infection moreover the MT test in elderly patient is not much reliable, the Technic and administration with proper dose of ppd are also great matter, in your case , first thing you getting the partial relived with antibiotic but you again got the same complain it means that the infection does not autolysed completely , now biopsy is only gold test you have, & this will clear over all picture, the further management are entirely depend upon histopath. test, take good care of your self.