question-icon

Hello Doctors Good Day I Am Doing My Medical Check

default
Posted on Thu, 20 Aug 2020
Question: Hello Doctors good day
I am doing my medical check up every year employment purpose. This time my mantoux test positive 20 mm . After 4 days of this test I give a blood sample for IGRA test and come positive too. My chest x Ray is normal, Hiv report negative, Liver test report normal. I don't have cough and I gain 7 kg weight in last 3 month. Afte all these test I visited a doctor in my city. He told me after he checked all my report that I do not need any medicine because I a activ TB. I visited on social media and websites and found that I have a Latent TB. I am looking for medicine. Please suggest medicine and how mny months I have to take . Thank you in advance.
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
No need to worry for latent tubercular infection.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the image you have attached.
In XXXXXXX we all are vaccinated with BCG (TB vaccine).
Plus we all have TB bacilli in our body in dormant stage.
So it is very much likely to get positive MT and TB Gold Test despite of no symptoms.
So no need to worry for latent TB and hence no treatment is required.
But if you still want to take, start Isoniazid 300mg once a day before breakfast for 6 months.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Your report is positive.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
Your report, TBferon or TB Gold Test is positive.
That means you might be having latent TB infection.
But honestly speaking, this report is significant in countries where TB is not that common. XXXXXXX is TB endemic country. So we all have TB bacilli in our body in dormant stage which can give positive report.
And, no. I can not reduce duration. It is standard dose. You have to take for 6 months.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Drkaushal85 (10 minutes later)
Thank you Dr XXXXXXX for your reply. May I know what did you see in my attached report I am positive or negative. Can you please suggest less then 6 months of treatment. I heard if TB medicine skip 1 day then have to start from beginning again. Thank you again.
default
Follow up: Dr. Drkaushal85 (2 days later)
Thank you Dr. XXXXXXX
I am starting soon Isoniazid 300 mg daily for 6 month. Do you recommend vitamin B6 with Isoniazid? Do I need to repeat IGRA test again before stopping medicine.
Thank you again. Have a nice weekend.
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
You can take pyridoxine 50mg once a day.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
You can take pyridoxine 50mg once a day after lunch for 6 months.
No need for repeat IGRA.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14997 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hello Doctors Good Day I Am Doing My Medical Check

Brief Answer: No need to worry for latent tubercular infection. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the image you have attached. In XXXXXXX we all are vaccinated with BCG (TB vaccine). Plus we all have TB bacilli in our body in dormant stage. So it is very much likely to get positive MT and TB Gold Test despite of no symptoms. So no need to worry for latent TB and hence no treatment is required. But if you still want to take, start Isoniazid 300mg once a day before breakfast for 6 months. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.