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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Cough With A Family History Of TB?

11 yo male with persistant coughing over 3 months xray just taken says some inflamitary changes with increased bronchovascular markings are present in the region of the anterior basel and prosterial segments of the right lower lobe.

No pnumonic condition, no pleural effusion , ribs appear normal.

Heart normal size, mediastinum and both hilar shadows appear normal, both lungs are well inflated, the pulmonary vascular pattern appears normal.

I am concerned as my family has a history (on my mothers side of T.B) what is next course of action.
Tue, 19 Jan 2016
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Pulmonologist 's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
No need to worry for tuberculosis in his case because his chest x ray is not suggestive of active tuberculosis.
In my opinion, he is mostly having asthma or bronchitis because his chest x ray is having prominent bronchovascular markings.
So better to consult pulmonologist for him and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).
He may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti allergic drugs are also helpful in his case.
Don't worry, he will be alright. No need to worry for tuberculosis.
Hope I have solved your query. I will be happy to help you further. Wishing him good health. Thanks.
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What Causes Persistent Cough With A Family History Of TB?

Thanks for your question on Health Care Magic. I can understand your concern. No need to worry for tuberculosis in his case because his chest x ray is not suggestive of active tuberculosis. In my opinion, he is mostly having asthma or bronchitis because his chest x ray is having prominent bronchovascular markings. So better to consult pulmonologist for him and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). He may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti allergic drugs are also helpful in his case. Don t worry, he will be alright. No need to worry for tuberculosis. Hope I have solved your query. I will be happy to help you further. Wishing him good health. Thanks.