Could Swelling In Lower Neck Be Related To FNAC Report Suggesting Tuberculosis?

Thanks for your query at HCM! According to me you are suffering from tubercular lymphadenitis infection. As your FNAC report also suggest the same. Absolutely it is high time you start the treatment with first line anti-tubercular drugs isoniazid, rifampicin, ethambutol and pyrazinamide with pryridoxine. You may get registered if centers for treatment if provided in your country like DOTS in India where you get free treatment. You might have to undertake repeated aspirations for swelling if it persists and send sample for ZN staining and culture for AFB and sensitivity test for the same. There are special tests like Hains which can be ordered at that time for genotypic testing from aspirate. Yes this is infectious you need to take precautions and follow hygiene practices. After 2 weeks post treatment you will become non-infective. The reasons for the disease is living with a person suffering with TB or you may have contracted it through coughing by infected people who commonly move in public places. Sometimes latent TB gets activated with declining immunity. It is curative, so don t worry. strictly adhere to treatment of long duration to avoid emergence of drugs resistant mutants which can complicate your case and life-threatening. Take care.