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Should TB Medication Be Started While Suffering From Fever And Cough?

Posted on Tue, 20 Sep 2016

Question: My bro age 26 suffering from fever and cough.He had fever and cough in XXXXXXX which was relieved with antibiotics.Again he got fever and cough from 31/7/2016.Doctors gave antibiotics like zostom o and cortimax.got some relief.on 18/8 chest x-ray showed pleural effusion.ESR 110 ,earlier 84.Doc asked for ct scan .it confirmed that he has pleural fluid.it was taken out .Analysis showed Ada 58. Tb medicine started on 26/8. Cough increased little with no relief.fever gone. Today received report from srl Bombay which shows mtb bacteria not detected in fluid in gennext.What should we do.. medicine to be continued or not? After how many days of medicine cough goes.

Answered by Dr. Dr.Raju.A.T (4 hours later)

Brief Answer:
Please attach your reports

Detailed Answer:
Hi,

Thanks for your query.

ADA positive alone can be considered to start TB medication but is not gold standard diagnostic.

Since, the genetic test for TB is negative there is no need for TB medication now.

I would like to have a look at the reports before I provide specific opinion.

Waiting for your response,

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar