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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Confirm Tuberculosis While Having Lung Infection?

my mother is getting fever every night with shivering. She is having lung infection. Doctors are not sure whether its TB or not. Medication of pneumonia they have already tried. Now they have started TB medicine for the last 3 days. How much time it will take her to respond to the medicine ? and how to confirm TB ? Broncoscopy has been done already.
Wed, 13 Aug 2014
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General & Family Physician,  's  Response
Hello
Previously your mother were diagnosed as pneumonia patient and now tuberculosis .
Some diagnostic tools for PULMONARY TUBERCULOSIS are:
=Sputum exam for Acid Fast Bacilli ( AFB)
Direct microscopy of the sputum to detect AFB is the most important tests for patientsw/suspected ptb.
At least 3 sputum specimens must be submitted preferably on 3 consecutive mornings.
= Bronchoscopy ( as they did in your mother case).
=Chest X ray
=Sputum for culture and sensitivity test.
=Polymerase chain reaction ( PCR)
One advantage of the test is the speed of the results.
=Purified Protein Derivative (PPD)-Tubeculin Skin Test.
So all these tests are for the confirmation for PTB .
Blood for C B C , E S R ( if very high > 100 m suggestive ).
History , physical examination by chest & tuberculosis specialist .
So consult a Chest & tuberculosis specialist and get his opinion.\
Good luck.
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How To Confirm Tuberculosis While Having Lung Infection?

Hello Previously your mother were diagnosed as pneumonia patient and now tuberculosis . Some diagnostic tools for PULMONARY TUBERCULOSIS are: =Sputum exam for Acid Fast Bacilli ( AFB) Direct microscopy of the sputum to detect AFB is the most important tests for patientsw/suspected ptb. At least 3 sputum specimens must be submitted preferably on 3 consecutive mornings. = Bronchoscopy ( as they did in your mother case). =Chest X ray =Sputum for culture and sensitivity test. =Polymerase chain reaction ( PCR) One advantage of the test is the speed of the results. =Purified Protein Derivative (PPD)-Tubeculin Skin Test. So all these tests are for the confirmation for PTB . Blood for C B C , E S R ( if very high 100 m suggestive ). History , physical examination by chest & tuberculosis specialist . So consult a Chest & tuberculosis specialist and get his opinion.\ Good luck.