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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Fever

I am suffering from low grade evening rise of fecer since january 2010. I took TB drug Rcinex for 7 months from October 2009. Still fever persists. I have one inguinal and 4 external iliac lymphnodes. Biopsy of inguinal lymph node shows plasmacytosis. Further investigations could not establish plasmacytoma / myloma. CT guided iliac lymph node has appaerd as reactive plasma cell infiltrate. I have no symptom of weigh loss, loss of apetite. Fever rises up to 100.6 at around 4-5 p.m and lasts up to 10-11 p.m followed by night sweating. I have consulted Dr. S.H. Advani, who also suspected recurrance of TB. How can I proceed now for further treatment.
Mon, 8 Feb 2016
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General & Family Physician,  's  Response
Hi thanks for asking question.
In chronic tuberculous infection plasma cell can get accumulated as reactive cause.
Here chances of recurrence or ineffective treatment is there.
You might be infected with multidrug resistant tuberculosis.
So sputum AFB stain along with culture and sensitivity needed.
Mostly you have not recovered fully after using anti TB drug.You need cuture report and accordingly regimen may need for multidrug resistence TB after getting consult to doctor.
I hope i have solve your query.
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Suggest Treatment For Persistent Fever

Hi thanks for asking question. In chronic tuberculous infection plasma cell can get accumulated as reactive cause. Here chances of recurrence or ineffective treatment is there. You might be infected with multidrug resistant tuberculosis. So sputum AFB stain along with culture and sensitivity needed. Mostly you have not recovered fully after using anti TB drug.You need cuture report and accordingly regimen may need for multidrug resistence TB after getting consult to doctor. I hope i have solve your query.