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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For TB Of Lymph Node

Age 42 Male, Height 5 ft 10", wt 83 kgs since last 3 years,
Dear Doctor
I have been diagnosed with TB of lympnode in June 2009. I was advised Rifampicin, PZA & Etambutol.Rifampin was causing high fever (104F) & since then I was advised streptomysin 1 no injection for 60 days & isokin instead of Rifampicin.I continued the medication for 9 months(till April2010). Immediately on stopping the medication the lympnodes started swelling in 15 days time. Then the excision biopsy was conducted in June2010 & biopsy was positive for TB, however no growth was seen in culture. Medicine that I was recommended from July 2010 for 12 months:
1) Rifabutin 150 mg 2 tabs daily
2) INH(solonex) 300 mg 1 tab daily
3) Mycobutol 800mg 2tab daily
4) Moximac 400 mg 1 tab daily
5) Vit B6 tabs.
The nodes were not at all felt with finger during medication. After stopping the medicine for 12 months (July 5, 20100 within a week the nodes seem to be resurfacing.Moreover in the last 3 months of treatment there was body joint pains on all joints sometimes quite severe, but now after stop of medicine I feel much better. Do I have any hope for any treatment, please please advise.

Thank you very much.
Mon, 16 Feb 2015
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General & Family Physician 's  Response
hi
welcome yo hcm
as per the information you have given iy seems you are suffering from drug resistant tb
I would advise you to visit the doctor as he will perform test for culture and sensivity , which will give the report on the best suitable drugs for you .
the joint pain may be due to medicines for which you can take dolo 650
and yes tb is fully cured if medicines are taken on time and for full course
if you are in maharashrta you can visit anyof the dots centre
thank you
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Suggest Treatment For TB Of Lymph Node

hi welcome yo hcm as per the information you have given iy seems you are suffering from drug resistant tb I would advise you to visit the doctor as he will perform test for culture and sensivity , which will give the report on the best suitable drugs for you . the joint pain may be due to medicines for which you can take dolo 650 and yes tb is fully cured if medicines are taken on time and for full course if you are in maharashrta you can visit anyof the dots centre thank you