Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Does "reactive Lymphocytes Are Noted" Mean?
I HAVE DONE FNAC FROM NECK REGION AND FEATURES ARE SUGGESTIVE OF GRNULOMATOUS LYMPADENITIS LIKELY TO HAVE KOCH S ETIOLOGY,ESR:-20 mm/1ST hr,Eosinophil:-32,Hb:12.1,Reactive lymphocytes are noted,Sputum For AFB is negative and I have recived antibiotic like azytromycine,amoxyciline with potassium clavulanate but no response from that what would be treat ment
Tue, 27 May 2014
Hello and welcome to HCM,
The aspiration cytology report of neck lymph node suggests granulomatous inflammation.
Tuberculosis is the most common granulomatous inflammation.
ZN staining is done for detection of acid fast bacilli (AFB) or tubercle bacillus.
However, the ZN stain is not positive for AFB.
The sputum is also negative for AFB.
There is reactive lymphocytosis which is seen in chronic inflammations like tuberculosis.
Since, there is strong suspicion for tuberculosis PCR for tubercle bacilli should be done.
Tubercle bacilli may remain undetectable if the bacterial load is low.
Consult your doctor for prescription of the investigations.
If the test turns t be positive, anti-tubercle treatment will be instituted.
Thanks and take care
Dr Shailja P Wahal
The aspiration cytology report of neck lymph node suggests granulomatous inflammation.
Tuberculosis is the most common granulomatous inflammation.
ZN staining is done for detection of acid fast bacilli (AFB) or tubercle bacillus.
However, the ZN stain is not positive for AFB.
The sputum is also negative for AFB.
There is reactive lymphocytosis which is seen in chronic inflammations like tuberculosis.
Since, there is strong suspicion for tuberculosis PCR for tubercle bacilli should be done.
Tubercle bacilli may remain undetectable if the bacterial load is low.
Consult your doctor for prescription of the investigations.
If the test turns t be positive, anti-tubercle treatment will be instituted.
Thanks and take care
Dr Shailja P Wahal
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Lymphocyte
Loading Online Doctors....