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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Underwent Medical Tests, Chest Xray Showed Koch's Infection. Diagnosed With PTB And Pneumonia. Has PTB Remained?

I have recently undergo medical and my findinds in chest x-ray is telling suggesting possible minimal Koch s infection . Last year 2010, I was diagnosed with PTB and complication of pneumonia . I was able to finish the 6 months prescription and the doctor told me that I m Ok already but the scar remains. I didn t continue taking med for fading the scar. My question is if I ll be consulting a pulmonogist, it is possible that the PTB remains, or it s just the scar that they ve found on my x-ray. If it s just the scar that remains, will they still be giving me an assessment of FIT TO WORK ?
Sat, 21 Jul 2012
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Anesthesiologist,  's  Response
Hi. It is likely that the shadow on your chest x-ray is just the residual scar, in that case, u will have no problem in getting a FIT TO WORK certificate. However, when you go to a pulmonologist, he will probably ask for further investigations to rule out active infection- for example, 3 consecutive days morning sputum specimen for AFB staining, he may also ask for a CT chest as that shows the active and old lesions more clearly than the Chest X-ray. My advice is to definitely consult him not only to get your certificate but more importantly to rule out active infection.
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Underwent Medical Tests, Chest Xray Showed Koch's Infection. Diagnosed With PTB And Pneumonia. Has PTB Remained?

Hi. It is likely that the shadow on your chest x-ray is just the residual scar, in that case, u will have no problem in getting a FIT TO WORK certificate. However, when you go to a pulmonologist, he will probably ask for further investigations to rule out active infection- for example, 3 consecutive days morning sputum specimen for AFB staining, he may also ask for a CT chest as that shows the active and old lesions more clearly than the Chest X-ray. My advice is to definitely consult him not only to get your certificate but more importantly to rule out active infection.