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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With PTB In The Upper Lobes.No Symptoms. Not On Medication Yet. Why?

i was diagnosed of minimal PTB both upper lobes, i did sputum exam as my doctor requested and results was negative. but what bothers me is that my doctor didn't give me a medication yet, instead he advised me to return after 3 months but if in case i have TB symptoms like cough and weight loss i must report to him . is it okay that i dont have a medication yet? by the way i dont have any symptoms right now.
Tue, 9 Apr 2013
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  Anonymous's Response
's  Response
Hello,



It is important to know HOW the initial diagnosis was considered, was it just based on radiology reports? i.e., Chest X Ray or CT scan of chest

As the sputum c/s was negative, this excludes an active infection.



There are 2 other ways of knowing the activity of the disease:

1. The Mantoux test - 5TU of BCG injected intradermally and response seen after 48hrs

2. The Gamma interferon assay; if that is positive, then the chances are high and best you start the therapy.



Best Wishes.
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Diagnosed With PTB In The Upper Lobes.No Symptoms. Not On Medication Yet. Why?

Hello, It is important to know HOW the initial diagnosis was considered, was it just based on radiology reports? i.e., Chest X Ray or CT scan of chest As the sputum c/s was negative, this excludes an active infection. There are 2 other ways of knowing the activity of the disease: 1. The Mantoux test - 5TU of BCG injected intradermally and response seen after 48hrs 2. The Gamma interferon assay; if that is positive, then the chances are high and best you start the therapy. Best Wishes.