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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Back Pain And Fever After Treated TB

Sir, i am 27 year old male suffering with back pain and fever from last one and half month my doc. start TB medicines on the basis of +ve mantoux, and on pleural effusion in left side (X-Ray) but my condition remain same even after 20 days of medication and now he stopped my TB Medicines ans asked me to go for an ESR & Sugar fasting test. what should I do?? Please advice..
Mon, 19 Dec 2016
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Pulmonologist,  's  Response
Hi

I read very carefully your concern.
I can understand that you have been under treatment for tubercular pleural fluid.This diagnosis is mostly encountered in young persons.
But i have not clear the fact of how was the diagnosis made? Only a PPD test positive is not enough to start the treatment for tb.The most important is theexamination of the fluid and its culture for tb bacilus that if it comes positives we can start the treatment.
If it is tubercular fluid the treatment last minimally for 6 months not so short as you have done.
So my opinion is to see a tb specialist and he should reevaluate your situation.
Thank you
Dr.Jolanda
Pulmonologist
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Suggest Treatment For Back Pain And Fever After Treated TB

Hi I read very carefully your concern. I can understand that you have been under treatment for tubercular pleural fluid.This diagnosis is mostly encountered in young persons. But i have not clear the fact of how was the diagnosis made? Only a PPD test positive is not enough to start the treatment for tb.The most important is theexamination of the fluid and its culture for tb bacilus that if it comes positives we can start the treatment. If it is tubercular fluid the treatment last minimally for 6 months not so short as you have done. So my opinion is to see a tb specialist and he should reevaluate your situation. Thank you Dr.Jolanda Pulmonologist