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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Glandular Nodes In Neck, Fnac Report Shows Tuberculosis Lymphadenitis. Is TB Curable?

hi..i was having small glandular nodes in my neck and near collar bone past 2 weeks so went for a chk up. doctor ran cbc, esr and c reactive protein test and fnac .. cbc esr and protein test results are normal but the fnac shows epitheloid cell granulomas against a background of reactive lymphocites. diagnosis- tuberculous lymphadenitis. 1. do i have tb even thoguh my esr is normal? 2. do i run some retests? 3 is it fully curable 4. can i continue working? kindly respond.
Mon, 5 Nov 2012
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Internal Medicine Specialist,  's  Response
Hello,
Thanks for writing your query to us.

Since the lymph node biopsy report shows epitheloid cell granulomas against the background of reactive lymphocytes, the diagnosis of tuberculosis is confirmed. No need to repeat the test again.

ESR can be within normal limits in 1/3rd of patients. so not very specific.

Lymph node biopsy is more specific & reliable test for diagnosis of TB lymph node so no need to repeat test.

If completed full course atleast for a period of six months, than disease is fully curable. dont stop the medicine without consulting your doctor even if you are feeling better.

Yes surely you can continue to work.

Wish you good health.
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Small Glandular Nodes In Neck, Fnac Report Shows Tuberculosis Lymphadenitis. Is TB Curable?

Hello, Thanks for writing your query to us. Since the lymph node biopsy report shows epitheloid cell granulomas against the background of reactive lymphocytes, the diagnosis of tuberculosis is confirmed. No need to repeat the test again. ESR can be within normal limits in 1/3rd of patients. so not very specific. Lymph node biopsy is more specific & reliable test for diagnosis of TB lymph node so no need to repeat test. If completed full course atleast for a period of six months, than disease is fully curable. dont stop the medicine without consulting your doctor even if you are feeling better. Yes surely you can continue to work. Wish you good health.