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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Fever While On Medication For Tuberculosis?

I had this lymp nodes tuberculosis in my neck two years back, i was under medication for two months, actually it was for 6 months course. i found the lymps getting smaller so i didnt bother to take medicine later.. it was all good untill one day after the trip to manali i have noticed that same kind of lymps appearing in all over my neck, i started with a fever and nausea.. i had to test again, the report came out as kochs chest this time which is tuberculosis they said.. so i started the dose again, but my question is that my fever has been for almost two weeks and it still not going away. even after taking anti tb drugs..why would that be so? i dont have any cough or other symptoms except some pain in the muscle... please help
Mon, 16 May 2016
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General & Family Physician 's  Response
Hello,Thanks for using HCM. i had gone though the data you have posted.
according to what you have said initially you had lymphnode tuberculosis you used treatment for 2 months and then discontinued
next time you told lymphnodes but u said kochs chest
as you have defaulted the therapy once you need to be startedon 5 drugs for 2 months see the response then 4 drugs for 1 month and then 3 or 2 drus for 5 or 6 months.and there is a chance that you may be affected by secondary drug ressistant TB this time. so you need to do culture and sensitivity at the time of diagnosis itself as the reports take one month time.
as you said there was not much improvement in your condition there are two possibilities for that
how many drug regimen you are on?
are you having secondary drug resistant TB?
do you have any secondary bacterial infection which may need antibiotics.
so kindly consult your doctor and discuss the possibilities with him.
hope this helps..
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What Causes Persistent Fever While On Medication For Tuberculosis?

Hello,Thanks for using HCM. i had gone though the data you have posted. according to what you have said initially you had lymphnode tuberculosis you used treatment for 2 months and then discontinued next time you told lymphnodes but u said kochs chest as you have defaulted the therapy once you need to be startedon 5 drugs for 2 months see the response then 4 drugs for 1 month and then 3 or 2 drus for 5 or 6 months.and there is a chance that you may be affected by secondary drug ressistant TB this time. so you need to do culture and sensitivity at the time of diagnosis itself as the reports take one month time. as you said there was not much improvement in your condition there are two possibilities for that how many drug regimen you are on? are you having secondary drug resistant TB? do you have any secondary bacterial infection which may need antibiotics. so kindly consult your doctor and discuss the possibilities with him. hope this helps..