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What Could Cause Lymph Nodes On Neck Even After Taking DOTS And ART Rx?
Hello Sir,m a girl of age 24 and i have taken both DOTS and ART Rx before,even after that i still have lymph node on my left side of the neck..so,ma physician prescribe another 6 mths course of ART Rx,now that the course almost over but the node still there so Sir,can this be surgically remove?or any other suggestion..help me out..and thankyou..
Wed, 3 Apr 2019
Hello,
Tuberculous lymphadenitis is principally a medical disease. Surgical excision as an adjunct to AKT is associated with the slightly worse outcome as compared to medical treatment alone or medical treatment with the aspiration of the node.
In general, chemotherapy regimens that are effective in pulmonary tuberculosis should also be effective in tuberculous lymphadenitis also. Both LYMPHADENITIS require a longer duration of AKT and a more aggressive regimen.
Systemic steroids have been shown to reduce inflammation during the early phase of therapy for lymph node tuberculosis and may be considered if a node is compressing a vital structure i.e. bronchus or in diseases involving a cosmetically sensitive area.
Prednisolone, 40 mg per day for 6 weeks followed by gradual tapering over the next 4 weeks, along with appropriate AKT is adequate. Don't worry, be compliant. It will go.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr AJEET SINGH, General & Family Physician
Tuberculous lymphadenitis is principally a medical disease. Surgical excision as an adjunct to AKT is associated with the slightly worse outcome as compared to medical treatment alone or medical treatment with the aspiration of the node.
In general, chemotherapy regimens that are effective in pulmonary tuberculosis should also be effective in tuberculous lymphadenitis also. Both LYMPHADENITIS require a longer duration of AKT and a more aggressive regimen.
Systemic steroids have been shown to reduce inflammation during the early phase of therapy for lymph node tuberculosis and may be considered if a node is compressing a vital structure i.e. bronchus or in diseases involving a cosmetically sensitive area.
Prednisolone, 40 mg per day for 6 weeks followed by gradual tapering over the next 4 weeks, along with appropriate AKT is adequate. Don't worry, be compliant. It will go.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr AJEET SINGH, General & Family Physician
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