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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Is The Diagnose For 15yr Old HIV Negative Boy ?

A 15yr old boy who is HIV negative presents with productive cough, he is losing weight, he also has night sweats and evening fever, what is the diagnosis
Mon, 22 Apr 2013
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Pulmonologist,  's  Response
Hi teddy nyamwiza,

Thanks for coming to HCM.

The whole symptoms points to a chronic disease, most probably the tuberculosis. The cardinal symptoms of the disease include cough of any type of more than two weeks, loss of weight, bloody sputum, evening rise of temperature, night sweats etc.

For the diagnosis one should go for chest x-ray where there will be the lesions of tuberculosis. For confirmation just a simple test i.e sputum microscopy for acid fast bacilli is done. If it is positive treatment is started. If negative one more early morning sputum examination is done. If both are negative and there is a strong clinical suspicion of tuberculosis, as in this case treatment can be started empirically.



For new case, treatment given is for 6 months and the diseases is fully curable......so nothing to worry...



Meet your general physician for the abovesaid tests...

Best wishes
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  User's Response
Prabhjot Saini's  Response

well it is a bit difficult to say it like this ,it could be just fever so better if the boy goes for a blood check up 
General Surgeon,  Dr. Azhar Khan's  Response
Most probably tuberculosis,better go for sputum test,afb and chest xray
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What Is The Diagnose For 15yr Old HIV Negative Boy ?

Hi teddy nyamwiza, Thanks for coming to HCM. The whole symptoms points to a chronic disease, most probably the tuberculosis. The cardinal symptoms of the disease include cough of any type of more than two weeks, loss of weight, bloody sputum, evening rise of temperature, night sweats etc. For the diagnosis one should go for chest x-ray where there will be the lesions of tuberculosis. For confirmation just a simple test i.e sputum microscopy for acid fast bacilli is done. If it is positive treatment is started. If negative one more early morning sputum examination is done. If both are negative and there is a strong clinical suspicion of tuberculosis, as in this case treatment can be started empirically. For new case, treatment given is for 6 months and the diseases is fully curable......so nothing to worry... Meet your general physician for the abovesaid tests... Best wishes