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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pneumonia

Good Day. I got my chest x-ray and diagnose that i have a pneumonia, right lower lung. They seen on my chest xray that there is haziness in my right lower lung. Doc, what does it mean? Is there a possibility that the impression is correct or is pneumonia can lead to tuberculosis? Please help, am paranoid of this pulmonary tuberculosis. Thanks, Lilou
Mon, 6 Apr 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
Tuberculosis is more common in upper lobes and less common in lower lobes.
TB bacilli grow more faster and have higher affinity for oxygen. And in lungs, upper lobes have highest oxygen concentration.
So Tuberculosis affects upper lobes more.
It can affect lower lobes in diabetes and His infection.
So in my opinion get done screening for diabetes and His. If both are negative then Tuberculosis is less likely in your case.
Also get done sputum examination for Aug (acid fast bacilli-TB bacilli). If this is normal then no need to worry for Tuberculosis. You are having mostly bacterial pneumonia.
So start treatment accordingly.
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Suggest Treatment For Pneumonia

Hello dear, thanks for your question on HCM. Tuberculosis is more common in upper lobes and less common in lower lobes. TB bacilli grow more faster and have higher affinity for oxygen. And in lungs, upper lobes have highest oxygen concentration. So Tuberculosis affects upper lobes more. It can affect lower lobes in diabetes and His infection. So in my opinion get done screening for diabetes and His. If both are negative then Tuberculosis is less likely in your case. Also get done sputum examination for Aug (acid fast bacilli-TB bacilli). If this is normal then no need to worry for Tuberculosis. You are having mostly bacterial pneumonia. So start treatment accordingly.