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

Child has white spots and heavy cold. Tuberculin test positive. Had chest X-ray. Interpret

Hello Respected Doctor, myself Mahesh from Mumbai,India, my daughter Durva is 9 month old. she is having heavy cold and has small white spot on the skin.We met pediatrician and he asked us to do the mantoux test . The the result of test is as under : Diameter of induration : 13mm X 11mm Reading at : 48 hrs Tuberculin P.P.D(I.P) : 1 Tu Interpretation : 10mm and above : Positive 05-9mm : Borderline 0-4mm : Negative Remark : TUBERCULIN TEST IS POSITIVE Thereafter, he adviced us to do the Chest X-Ray the result is as under : X-RAY CHEST PA(770) - Widening of superior mediatinum above thymic shadow noted - Rest unremarkable - Both the costophrenic angles are clear. - Both the domes of diaphragms appear normal. - Visualised bony thorax is normal. - Cardiac sillhoutte appears normal. IMP :- To rule out superior mediastinal lymphadenopathy . Thereafter, he gave following medicines : - Syrup - PZA-Ciba ( 250 = 5 ml ) for two months - Tab - R-Cinex Kid for six months - Syrup - Kidicare for six months We therefore, request you to kindly look into this and guide us, whether we are on the right track ? Please advice and oblidge. Thanks Warm Regards Mahesh Trivedi - Father Shraddha Trivedi - Mother
Asked On : Wed, 22 Aug 2012
Answers:  1 Views:  74
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests
Internal Medicine Specialist 's  Response
Hello Mahesh Trivedi

I am really sorry to hear about your daughter

I always hated Tuberculosis

Yes your paedritician is going on the right pathways

Did you had vaccinated your daughter when she was 1 month old ?

If not , then Tuberculin test , for a baby of 9 months is stronglt positive for TB at 13mm

TB can present in so many different forms , that no one can imagine

In some cases TB causes mediastinal ( central part of chest ) lymph nodes to enlarge , with no lung infection

Any one would have susspected TB in your daughter with tuberculin test 13mm+ mediastinal lymph node enlargement ( superior /inferior) = TB

Yes both these syrups showld be continued for 2 months and then for 4-7 months of Rifampicin+isoniazid only

Dont worry she will be healthy again , just show good compliance with treatment

Hope this helps
Answered: Tue, 9 Jul 2013
I find this answer helpful

 1 user finds this 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]


Loading Online Doctors....
© 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