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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Pleural Effusion In Case Of Tuberculosis?

Sir, My mother is having tuberculosis and is on ATT for last 3 months. SHe took PZA for 2 months and she just stopped ethanbutol 2 days ago after taking it for 3 months. She continues taking R Cinex empty stomach. Well, she had mild fever in evenings since 2 months from correct diagnosis (mar end) and was diagnosed of TB on May 17. She had false cross results fr widal and hence was on Toxim O for 2 weeks and them changed medicine for another 2 weeks in April before we got alrmed that fever of grade 99+ still persists withs ame pattern. Post her plueral effusion on May 17, her fever subsided for 2 days and tehn rose to persistent 100- (99.6-99.8) and with ATT came back to her previous igures of 99+ (99.1-99.3). It has happened for last two weeks that her fever went away sometimes but it returns now rarely crosses 99.5. I must say fever has broken its stuborn pattern but still after 3 months of medicine, she has not out of it completely. Question: 1. Is this normal ? Add info: Her ECR was 60+ at teh tiem of diagnosis which ahs dropped to (5-6) . Her recent chest X-ray is normal.She did stop enthanbutol as advised by her doc last month and we are due next visit next week. 2. She had border line Fasting suger which have raised to 117. Is thsi side-effect fo R Cnex? As she mistakenly got tested for fasting after she took R Cnex assuming it has no effect and her sugar came out to be 135 and PP at 138. I repated the test as the range was too less, it was 117 next day comapred to 111 prior to having TB.
Thu, 26 Apr 2018
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Pulmonologist 's  Response
Hello,

Generally fever subsided after 3 months of ATT and then again fever start two cause:
1. MDR TB
2. Secondary infections

If you are thinking that she has diabetes mellitus type 2 then:
1. Get her HBA1C done
2. GTT

If diabetes present, then starts controlling sugar it hinders TB treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Chandra Shekhar
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What Causes Fever And Pleural Effusion In Case Of Tuberculosis?

Hello, Generally fever subsided after 3 months of ATT and then again fever start two cause: 1. MDR TB 2. Secondary infections If you are thinking that she has diabetes mellitus type 2 then: 1. Get her HBA1C done 2. GTT If diabetes present, then starts controlling sugar it hinders TB treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Chandra Shekhar