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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Necessary To Start The DOTS Treatment?

hai Doctor,my friend had extra pulmonary TB and biopsy of neck lymph node suggested afb bacilli and she was on DOTS treatment for 6 months. After course again biopsy of lymph node done suggesting tubercular lymphadenitis but she does not have any symptoms and biopsy morphology suggesting granulamata giant cells.IS it nessassary to restart DOTS TREATMENT IF YES WHICH CATOGARY?
Mon, 5 May 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,

As your friend is having TB lymadenitis for which he has taken treatment for 6 months under RNTCP DOTs treatment. Even after 6 months the TB bacilli continue to survive in the lymph node. These patients will be re categorized into Cat II.

Cat II or treatment for previously treated cases, for these patients they have to take treatment with DOTs regimen, intensive phase for 3 months in which 5 drugs for two months and 4 drugs for one month following which three drugs should be taken 5 months.

I would suggest you to visit nearest DOTs center to register yourself and take the medicines from them.
Thank you.
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Is It Necessary To Start The DOTS Treatment?

Hello, Welcome to HCM, As your friend is having TB lymadenitis for which he has taken treatment for 6 months under RNTCP DOTs treatment. Even after 6 months the TB bacilli continue to survive in the lymph node. These patients will be re categorized into Cat II. Cat II or treatment for previously treated cases, for these patients they have to take treatment with DOTs regimen, intensive phase for 3 months in which 5 drugs for two months and 4 drugs for one month following which three drugs should be taken 5 months. I would suggest you to visit nearest DOTs center to register yourself and take the medicines from them. Thank you.