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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for tb

My daughter of 27 years age is having left hip joint pain and the MRI suggest fluid presence. blood test of TB gold indicates positive and the reading is .8 instead of .3,many blood test are done related and their result is normal except ESR which is 28 and CRP QUANTITATIVE SERUM test show 17.3 .Chest x-ray is clear but she is advised to go for CT scan for chest. Confused and whom to consult for correct diognestic for start of TB treatment. pl advise.

ibrao
Fri, 20 May 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Your daughter is having septic arthritis of hip joint with collection of fluid (synovial effusion).
Most common cause for this is tuberculosis.
Her TB gold test is also positive with high CRP (C Reactive Protein) and ESR (erythrocyte sedimentation rate).
All these favour TB more.
But confirmation should be done by aspiration of synovial fluid from hip joint and send it for ADA (adenosine Deaminase) level.
ADA is marker of tb infection infection fluid.
So if ADA of fluid is also high, better to start anti TB drugs.
So consult orthopedic doctor and discuss about synovial fluid aspiration.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
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Suggest treatment for tb

Thanks for your question on Healthcare Magic. I can understand your concern. Your daughter is having septic arthritis of hip joint with collection of fluid (synovial effusion). Most common cause for this is tuberculosis. Her TB gold test is also positive with high CRP (C Reactive Protein) and ESR (erythrocyte sedimentation rate). All these favour TB more. But confirmation should be done by aspiration of synovial fluid from hip joint and send it for ADA (adenosine Deaminase) level. ADA is marker of tb infection infection fluid. So if ADA of fluid is also high, better to start anti TB drugs. So consult orthopedic doctor and discuss about synovial fluid aspiration. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.