Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
149 Doctors are Online

TB suspected, AFB culture, mantoux skin test positive, bronchial alveolar lavage, lesions, on nexpro RD, akurit, benadon

User rating for this question
Very Good
Answered by
Practicing since : 2001
Answered : 12683 Questions
Hi, am 26yrs of age, male, ... during the my VISA medical tests, doctors have suspected TB based on X-ray. The tests that were done and the results are given below,
1. Smear negative for AFB using Bronchial Alveolar Lavage (collected after bronchoscopy)
2. Smear negative for AFB with Sputum samples ( 2 days)
3. Mantoux skin test -- postive (18mm)
4. X-ray (lesions on top left and right lungs)
5. AFB Culture (sputum) is done - am waiting for the report
6. Have no cough or weight loss

With this Doctor suspected TB and suggested the medicine...
My weight = 50 KGs (since almost 4 years same weight +/-2 kgs)
Height = 6 feet

Nexpro RD 40, Daily 1-0-0 (One tablet in morning, 30 minutes before food)
Akurit-4, Daily : 2-1-0 (Morning 2 tablets, afternoon 1 tablet, none in night, all are taken one hour after the food)
Benadon, Daily 0-0.5-0 (Morning 0 tablets, afternoon half-tablet, none in night, all are taken one hour after the food)

Incidentally, I consulted another doctor, he said the dosage is not correct. He also suggested me to get CRT scanning done, which I have done now and will get the report tomorrow.
Now, am in confusion.

Is it TB?
Is the dosage okay?

Posted Mon, 23 Apr 2012 in General Health
Answered by Dr. Rakhi Tayal 3 hours later

Thanks for writing to us.

Your X-ray chest is suggestive of tubercular lesions and the tuberculin test is also positive. These two things are an indication enough to start anti tubercular treatment even if your AFB staining and culture are negative.

The treatment you are getting is also correct with proper instructions as to when to take which tablet. You need not worry about the diagnosis and you need to take the full course of anti- tubercular treatment.

Regarding the CRT scan, the results will be almost the same as you got on X-ray. I would have suggested an MRI of chest to my patients as it would have given a better idea about the extent of spread of the lesion.

I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.


Above answer was peer-reviewed by
Follow-up: TB suspected, AFB culture, mantoux skin test positive, bronchial alveolar lavage, lesions, on nexpro RD, akurit, benadon 18 hours later
Thank you Doctor.
As I had told, I have got the CT scan reports today and after seeing it the Dr. (to whom I have been for second opinion) has told me that, I have active TB-infection and changed the dosage to
1. Akurit-4, 3 tablets (30 mins before breakfast),
2. Benadon -40, 1 tablet every alternate day, anytime.

He also said, nobody gives Akurit-4 twice a day.

Now, am in confusion, whether to follow first doctor or second doctor.
1. Please clarify on this
2. If it is active TB, will it infect others, say in my family, or in the office - my colleagues ?

Answered by Dr. Rakhi Tayal 44 minutes later

Thanks for writing again.

Both the doctors are correct as taking all three tablets at the same time may cause gastritis.

The motive of giving one tablet in afternoon was to decrease acidity only.

Benadon one tablet on alternate day is same as taking a half tablet daily.

You can follow the second doctor's advise as I feel it is comfortable for you.

Yes, during active TB, you can spread it to others in your family.

Cover your mouth while coughing and and dispose off your sputum immediately.

Do not share your towel, etc with others.

Hope I have answered your query.

Wishing you an early recovery.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor