The patient concerned is suffering from Tubercular lymphadenitis
as per the FNAC report. She has to be again put on same treatment ie RHEZ for first 2 to 3 months and RH for next 6 to 7 months. Total duration of treatment should be minimum 9 months.Dosages of drugs has to be as per the weight which can be decided by her treating physician or pulmonologist. This time let her take treatment on daily basis instead of intermittently. Consult a surgeon regarding sinus surgery
whether it is required because sinuses
due to tb normally close once tb treatment is started. If there is no improvement with treatment, possibility of drug resistant tb has to be considered since she has already taken this treatment in the past.