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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cough With Mucus, Right Ear Blocked With Fluid. History Of Chron's Disease. X-ray Required?

I have had a cough with mucous and my right ear intermittently gets blocked with fluid, not able to hear well out of that ear at times. I have Crohn s disease and recieve remicade infusion every 5 weeks. I m concerned that what was initially an upper respiratory infection may have developed into something more. Should I have a chest xray? Possibly get an exam and begin abx?
Mon, 8 Oct 2012
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Pulmonologist,  's  Response
Hi
Thanks for query.
You are taking remicade infusion for crohn's disease which is a immunosuppressive drug which can cause pulmonary tuberculosis. It can reactivate tuberculosis. As your upper respiratory tract infection is not getting rid offf and you are taking an immunosuppressive drug so we have to exclude tuberculosis.
So get a x-ray chest (PA view) done along with a sputum examination for acid-fast bacilli smear for 2 days. Then you consult a pulmonologist and take his opinion.
Thank you.
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Cough With Mucus, Right Ear Blocked With Fluid. History Of Chron's Disease. X-ray Required?

Hi Thanks for query. You are taking remicade infusion for crohn s disease which is a immunosuppressive drug which can cause pulmonary tuberculosis. It can reactivate tuberculosis. As your upper respiratory tract infection is not getting rid offf and you are taking an immunosuppressive drug so we have to exclude tuberculosis. So get a x-ray chest (PA view) done along with a sputum examination for acid-fast bacilli smear for 2 days. Then you consult a pulmonologist and take his opinion. Thank you.