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Mycobacterium Tuberculosis dected through PCR of semen - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
Doctor :   Hi
Doctor :  
How can I help you?
User :   I Have detcted TB through PCR test, is this the correct test
User :   Mycobacterium Tuberculosis dected through PCR of semen
Doctor :   Yes as I was telling you earlier,

Doctor :  
TB may turn out to be positive in many in India
Doctor :  
but it doesnt mean that it will cause a clinical problem
User :   My Wife had missed aborsion 5 months back hence some frined suggested me to check her menstrual blood sample. In which TB was dected hence I was also tested
Doctor :  
What are your symptoms?
User :   YES, I do not have a clinical problem. I am Ok Health, No symptoms
User :   Pl help, What should I do.
Doctor :   Have you ever suffered from urinary tract infection?
User :   No.. I do not have any pain, no symptoms
Doctor :  
A urine culture is a better test. If at all you have colonisation of your urinary tract with TB, it will show up as a culture
User :   Pl.. Suggest if PCR the correct test or IGG IGM more correct
Doctor :  
What symptoms is your wife suffering from?
Doctor :  
The traditional and gold standard test for detecting TB is by skin tests
Doctor :  
called Mantoux
User :   No symptoms. Doc at the time of D&C had said she has a infection at the mouth of uterus
Doctor :  
PCR is a recent technique
Doctor :  
PCR detects the bacterial DNA
User :   Can PCR be correct or want else
Doctor :  
IgG & IgM are immunoglobulins produced in response to any infection
User :   What do U suggest. Get Treatment of ATk4 for TB for furthur tests
Doctor :   PCR will almost always be correct, but it will indicate whether the bacteria are present or not
Doctor :   it may not be due to current infection, can indicate past infections
User :   My Wife has infection at the mouth of her uterus, can it be because of TB or something else
Doctor :  
About AKT4, its upto the clinical examiner. If he is able to diagnose a current infection-
Doctor :   beit clinically or with the help of various investigations, then he can decide about start anti TB
Doctor :  
Was D & C done for her and sent for biopsy?
User :   YES, no infection detected then
Doctor :  
What is the impression of ultrasound?
Doctor :   of the uterus
User :   I Did not undersand
Doctor :   Did she undergoe abdominal/pelvic scanning?

Doctor :  
if yes, what ws the impression?
User :   Normal
Doctor :  
Was any test called Hysterosalpingography done?
User :   Doc Told infection cannot be found through ultrasound
User :   Hysterosalpingography was not done, what is this
Doctor :   a dye is injected into the uterine tract & an X ray taken

User :   NO this was not done
Doctor :  
TB usually affects the structures called Fallopian tubes, this can be detected with this test
Doctor :  
a scanning is good enough
Doctor :  
since scan is normal, nothing more will be needed as far as the genital tract is concerned
Doctor :  
TB elsewhere in the body needs to be ruled out
Doctor :  
are you getting my messages?
Doctor :  
Are you with me?
User :   YES
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