Brief Answer:
Bacterium tuberculosis has to be grown

Detailed Answer:
Hello,

Welcome and thank you for the query.
To know whether a tuberculous bacillus in multidrug resistant or not, one should grow the organism and do a drug sensitivity on it. Techniques are available to amplify the growth but the organism has to be present.
Therefore the tissue containing the bacterium has to be got through a biopsy in case of extra pulmonary TB like one gets the organism from the sputum in a pulmonary TB. Menstrual blood may grow the organism if it is an endometrial TB but an endometrial biopsy would be more fruitful
TB blood tests ( interferon-gamma release assays or IGRAs) measures the immune activity of the body to the bacterium. It does not grow the live bacteria.
To diagnose abdominal TB one can get the tissue suspected through a laproscopic biopsy. If no particular lesion to be biopsied seen at laproscopy a culture of the peritoneal lavage fluid may yield result.

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Brief Answer:
First a clinical suspecion and tests are helpful in confirmation

Detailed Answer:
IGRA is helpful in identifying latent TB when there's strong clinical suspecion. CRP elevation only points to the presence of an inflammation. It can be elevated in a bacterial infection and inflammatory conditions like arthritis. It is not a diagnostic test for TB.
How were you diagnosed to have TB?
Soft tissue is present almost all over the body. Which area are you referring to? A biopsy of the suspected tissue will confirm if the Mycobacterium is grown in culture or there are typical granulomas in the biopsy.

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Brief Answer:
CRP is a marker for inflammation.

Detailed Answer:
Hello,
Welcome back.
Xpert MTB/RIF is not a blood test. It is a cartridge based test for faster detection of lung TB and its resistance to Rifampicin. You require the infected sample and now the test is validated for sputum . Validation for extra pulmonary (other than lung) sites may come. In all cases you require the infected sample and not blood.
In your case, the TB was diagnosed on the basis of an ultra sound and not on the basis of any tissue diagnosis. CRP may be elevated in any inflammation. It may be an infection or it may be other inflammatory conditions like collagen disease, malignancy, arthritis etc.
Did you have symptoms like evening rise of temperature, night sweats, weight loss etc?
I presume your doctor has justification based on his/her experience for diagnosis of TB.
If there was a tissue diagnosis, the justification for TB would be stronger.
Please don't consider this as challenging your expert doctor who has examined and investigated you by someone who has never seen you. In complicated cases like yours , one has to think from all angles. Supposing the hypoechoic lesion was not due to TB, no amount of anti TB medication will remove it.
A surgeon can easily excise this lesion and a histopathological examination will prove whether you have TB now or not.
Best wishes,

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Brief Answer:
May be taken if indicated.

Detailed Answer:
Preglabin and Gabaneuron are medicines that modulate pain perception and are used to treat pain caused by damage to nerves or neupathic pains. Pegalup is used to clean the bowels or as treatment of constipation.
There is no significant interaction and these may be used with ATT if indicated.

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Brief Answer:
No problem with Seratiopeptidase. Interaction between AKT3 and Pet

Detailed Answer:
Seratiopeptidase may be taken for long periods without any harm.
Necrosis usually produces local tenderness on pressure. The blood may show high blood count. The CT and MRI may show signs of abscess formation.
There are some adverse reaction of Escitalopram with Isoniazid like there may elevation of Escitalopram blood levels, both together may increase serotonin levels and there is a chance of a reaction.
So use it carefully . It may be helpful in handling emotional issues that are common with chronic illness.

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Brief Answer:
You may take a small dose of Alprax if your doctor has suggested it.

Detailed Answer:
I am travelling and may not have internet access . Thank you for your patience.
You may take Alprax 0.25 mg occasionally for anxiety, but long term use can lead to dependence on it.
TNF is a cytokine and is involved in cell death. It is a blood test and has no value in diagnosing MDR TB.
Tunnel is a particular surgical technique.
The technique will vary from surgeon to surgeon. You can get more details from the surgeon who suggested it.

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Brief Answer:
No adverse interaction

Detailed Answer:
Meganeuron and bevon have no adverse interaction with ATT.
I don't see your reports. Please upload them. Properitoneal space is the space between the peritoneum and the abdominal wall. It is more often referred to as extra peritoneal .

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