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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for lymph node tuberculosis with sinus formation

sir my sister have lymph nodetuberculosis with sinus formation since 1 year

patient is on treatment but show no sign of recovery.

L.N. disrupt & continous pus discharge ( at cervical & inguinal region).

when this L.N. RECOVER on same time another one will swell up.

FNAC show granulomatous cell only.(no cancer cell)

drug sensitivity show no result.

                                                                 
Tue, 14 Jun 2016
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General & Family Physician 's  Response
It is better you consult a qualified chest physician who can do appropriate investigations as well as physical examination and suggest you the next course of action. no signs of recovery may be due to unidentified drug resistance,or disease caused by multi drug resistant bacteria, Poor drug penetration into the lymph node, Unfavourable local milieu, Enhanced delayed hypersensitivity reaction in response to mycobacterial antigens released during medical treatment of the disease.the dr can take decision whether your sister requires surgical aspiration or resection of lymph nodes in this kind of symptoms.patients immunity should be enhanced with proper diet and maintaining cleanliness of wounds by cleaning and dressing them with medication regularly.
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Suggest treatment for lymph node tuberculosis with sinus formation

It is better you consult a qualified chest physician who can do appropriate investigations as well as physical examination and suggest you the next course of action. no signs of recovery may be due to unidentified drug resistance,or disease caused by multi drug resistant bacteria, Poor drug penetration into the lymph node, Unfavourable local milieu, Enhanced delayed hypersensitivity reaction in response to mycobacterial antigens released during medical treatment of the disease.the dr can take decision whether your sister requires surgical aspiration or resection of lymph nodes in this kind of symptoms.patients immunity should be enhanced with proper diet and maintaining cleanliness of wounds by cleaning and dressing them with medication regularly.