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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is TB Gold Test The Best Test For TB And Meningitis?

I want to undergo TB Gold Test for possibility of Meningitis, since I am facing recurrent headaches since the last 4months. I also find myself confused at many instances and tend to forget things. I have already contracted intestinal TB twice since childhood, and disseminated TB with symptoms of meningitis almost 2 years back (when two of my thoracic vertebrae had deveoped swelling and it was hard for me to even sit for long, and i was also affected by severe headches) when I was treated with Forecox and streptomycin inj. both for a period of eight months whereafter owing to gastrointestinal problems I had stopped the treatment since it appeared that I had totally recovered.

Is there any better way of diagnosis than this test and where can this test be performed in the NCR region. I am 34yrs of age, slim and now a days I feel lethargy and am exhausted even with slight exertion while the ESR does not give any clue.

atul
Mon, 18 Aug 2014
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Internal Medicine Specialist 's  Response
Hello
Thanks for writing in HCM
I had gone through your query and understood your concerns.
Best test for TB meningitis is to see for choriod tubercle by fundoscopy but its present only in 30% with tb meningitis
2. CSF analysis with ADA levels
TB gold test even if positive does not indicate active disease
so i suggest you get fundoscopy and csf analysis get done first
Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you do not have any clarifications, you can please close the discussion. Thank you.
Wishing you good health
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Is TB Gold Test The Best Test For TB And Meningitis?

Hello Thanks for writing in HCM I had gone through your query and understood your concerns. Best test for TB meningitis is to see for choriod tubercle by fundoscopy but its present only in 30% with tb meningitis 2. CSF analysis with ADA levels TB gold test even if positive does not indicate active disease so i suggest you get fundoscopy and csf analysis get done first Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion. Thank you. Wishing you good health