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What Does This Sputum Test Report Indicate?

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Posted on Tue, 17 Nov 2015
Question: In sputum test for AFB, result shows in same day-
AFB not found.
Epithelial cells - present (+)
Pus cells - present ( a few)
Microorganism - present
This is for my father age 76 yrs.
what does it mean sir?
doctor
Answered by Dr. Drkaushal85 (9 minutes later)
Brief Answer:
Possibility of infection is more.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
This sputum report is negative for tuberculosis (AFB). It shows pus cells and microorganism.
So possibility of lung Infection (other then tuberculosis) is more, but I need more information like
1. What are his symptoms?
2. Since how many days he is having these symptoms?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Brief Answer:
Is chest x ray done or not?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Please let me know
1. Is chest x ray done or not?
2. Is he having coughing?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your father. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (26 minutes later)
1.
Left ribs pain. Back pain.
2. For last two months.
Chest X-ray says hyper inflative changes are seen at both lung fields. Pleural thickening is noted in both apices. Scarry fibrosis is seen in both upper zones. HRCT OF THORAX reveals - fibro-calcified lesions in bilateral lung fields and a fibrotic mass in left upper lung. Fracture ln left transverse process of D8 & D9 vertebra with a haematoma 30*24 mm in postero lateral paraspinal region also extending into adjacent epidural space.
He is not having coughing.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Looks like he is having chronic bronchitis and old Pulmonary tuberculosis.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
His HRCT report is suggestive of fibrotic lesions with hyperinflation.
These are indicative of chronic bronchitis and old Pulmonary tuberculosis.
Chest pain and back pain are seen in bronchitis.
Bronchitis needs inhaled bronchodilators and inhaled corticosteroid (ICS).
Please let me know
1. Is he smoker?
2. Which drugs he is taking at present?
3. Was he having tuberculosis in the past?
4. Is he having shortness of breath on exertion? Is he tired very easily?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your father. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Does This Sputum Test Report Indicate?

Brief Answer: Possibility of infection is more. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. This sputum report is negative for tuberculosis (AFB). It shows pus cells and microorganism. So possibility of lung Infection (other then tuberculosis) is more, but I need more information like 1. What are his symptoms? 2. Since how many days he is having these symptoms? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks. Brief Answer: Is chest x ray done or not? Detailed Answer: Thanks for your follow up question on HCM. I can understand your concern. Please let me know 1. Is chest x ray done or not? 2. Is he having coughing? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your father. Thanks.