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Suggest Treatment For Tuberculosis Lymphadenitis
I was diagnosed of having tb adenitis by simly having the skin test and the presence of lymphnode in my neck. I had taken treatment for tb for only two months, then i stopoed.i got scared of the drugs.i have had doubts of the diagnosis of my ent doc. I havent gone to other doc yet to have checked. Until now,the hard lymph node in my neck(below the jaw still there) the lumphnode below my ears does not disappeared. My throat not feel ok. Sometimes its hard to breath.
Iwant to go to the doctor, whom shld i consult? An internal med doc or the ent? Is this realy a tb adenitis? Is this cancerous? Is there any possibility of lymphoma?thanks
Iwant to go to the doctor, whom shld i consult? An internal med doc or the ent? Is this realy a tb adenitis? Is this cancerous? Is there any possibility of lymphoma?thanks
Fri, 22 Apr 2016
Anonymous's Response
Anonymous's
Response
Hi and thank you for choosing HCM to post your question.
I read carefully your question and my opinion is as follows:
Tuberculous lymphadenitis presents as a slowly progressive,painless swelling of a single group of lymph nodes more frequently of cervical lymph nodes.Clinical suspicion is important in diagnosing this condition in persons from endemic area of tuberculosis and with positive skin test(PPDtest ).The cornerstone of treatment remains antitubercular therapy but response is slower than with pulmonary tuberculosis.
A definitive diagnosis can be made by culture or nucleic amplification of Mycobacterium tuberculosis in an affected lymph node.
I would recomend excisional biopsy since it has the highest sensitivity but fine needle aspiration is less invasive and may also be useful ,thereby permitting distinction from other causes of lymphadenitis(cancer,lymphoma,infectious ect)
I hope my opinion can be helpful.
Wish you good health.
Kind regards
Dr.Dushi
I read carefully your question and my opinion is as follows:
Tuberculous lymphadenitis presents as a slowly progressive,painless swelling of a single group of lymph nodes more frequently of cervical lymph nodes.Clinical suspicion is important in diagnosing this condition in persons from endemic area of tuberculosis and with positive skin test(PPDtest ).The cornerstone of treatment remains antitubercular therapy but response is slower than with pulmonary tuberculosis.
A definitive diagnosis can be made by culture or nucleic amplification of Mycobacterium tuberculosis in an affected lymph node.
I would recomend excisional biopsy since it has the highest sensitivity but fine needle aspiration is less invasive and may also be useful ,thereby permitting distinction from other causes of lymphadenitis(cancer,lymphoma,infectious ect)
I hope my opinion can be helpful.
Wish you good health.
Kind regards
Dr.Dushi
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