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Have had blood test for TB. Findings?

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Posted on Wed, 18 Sep 2013
Question: Hi, My brother's (30 years old) blood report shows,
1) TB IgG ( Antigen A60): 182 EU/ml and
2) TB IgM ( Antigen A60): 3.0 Index. Is he is having TB.

Please advise...
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Answered by Dr. Venkat Sivayogi (59 minutes later)
Brief Answer:
No role for serology(IgG & IgM)in diagnosis of T.B

Detailed Answer:
Hi,
Welcome to Healthcare magic,

As per your given lab report, The serology tests like IgG and IgM has "NO" role at all in diagnosing the tuberculosis(T.B). So no physician is relying upon these serology tests now a days.

My suggestion is to take him to a physician and evaluate the reason for his high fevers.

The diagnosis of T.B can be made on clinical and lab methods.

Clinical :
1.weight loss
2.cough more than 14 days not relieving by antibiotics
3.Evening rise of temperature

Lab:

1.ESR will be raised
2.CBP test -there is increased white cell count
3.Chest X-ray
4.Sputum AFB

Hope i have cleared your query. If you need any further clarifications,let me know.
Regards
Dr.SIVAYOGI
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (19 hours later)
yesterday i have asked query regarding my brother M(30) having TB or not.
I was guided to do some report for TB.
Today I have done my CBC + ESR Report, Results are
E.S.R - 30
RBC Count - 3.79
P.C.V - 35.90
M.C.H - 32.19
Neutrophils - 37
Neutrophils(count) - 1759
Lymphocytes - 53


apart from this he had weight loss of 5kg in last 13 days.
Had high fever of 104.
Can it be considered as TB??
Please guide us?

Currently our doctor has given medicine for TB:
R-Cinex EZ(Rifampicin IP,Isoniazid IP,Pyrazinamide IP)
doctor
Answered by Dr. Venkat Sivayogi (3 hours later)
Brief Answer:
chest X-ray and sputum AFB are diagnostic tools.

Detailed Answer:
Hi,
Welcome back,

Chest X- XXXXXXX and sputum AFB are the definitive diagnostic tests for the T.B.
I will give better information if you have these reports.

But from the lab values you have provided, ESR is almost normal and rest of the blood picture is also normal.

Only positive findings in favour of tuberculosis is weight loss and continuous fever, but same can be seen in other types fevers also .

So in order to confirm the diagnosis of T.B, you MUST require chest X-ray and Sputum AFB.



Regards,
Dr.SIVAYOGI
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Venkat Sivayogi

Internal Medicine Specialist

Practicing since :2007

Answered : 454 Questions

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Have had blood test for TB. Findings?

Brief Answer:
No role for serology(IgG & IgM)in diagnosis of T.B

Detailed Answer:
Hi,
Welcome to Healthcare magic,

As per your given lab report, The serology tests like IgG and IgM has "NO" role at all in diagnosing the tuberculosis(T.B). So no physician is relying upon these serology tests now a days.

My suggestion is to take him to a physician and evaluate the reason for his high fevers.

The diagnosis of T.B can be made on clinical and lab methods.

Clinical :
1.weight loss
2.cough more than 14 days not relieving by antibiotics
3.Evening rise of temperature

Lab:

1.ESR will be raised
2.CBP test -there is increased white cell count
3.Chest X-ray
4.Sputum AFB

Hope i have cleared your query. If you need any further clarifications,let me know.
Regards
Dr.SIVAYOGI