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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore And Painful Lump On The Neck?

My mother got a very sore lump on her neck which came up when she was undergoing Typhoid treatment. Typhoid went away, however the lump on neck became very sore and painful. Biopsy and CT Scan were done, however the cause has remain unknown for the lump. After 2 weeks of Antibiotics didn't help, doctor suggested to clear the puss out. Also doctor now suspects it could be due to Tubercluosis and has started medicines for same.Its been 4 weeks after the lump has been removed and an open 2 X 3 inch wound is present on neck, just above collar bone area. Its been advised to do dressing everyday and in te process a very thin tiny layer is removed from deep inside the wound. Also at times a white patchy balls type substance is found near the wound area and the person who performs dressing removes it using forceps (Its generally sticking inside). I want a second opinion on the entire medical procedure and would appreciate if you can provide me any further guidance.
Fri, 25 Apr 2014
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General Surgeon,  's  Response
HI.
Thanks for an elucidate history.
This looks to be tuberculosis unless proved otherwise,
One can request for review biopsy just to clear the doubts.
Please continue anti-tubercular treatment as the break is not a good idea. And these medicines are good antibiotics in itself.
Typhoid by virtue of reducing the body-resistance gives way to the old not-clinically obvious infection like TB to come-up and show up as a disease.

The while part which is removed is called a slough. Removing helps early healing.

Please get her blood tests done related to hemoglobin, blood sugar, serum proteins, liver function tests, quantiferon TB gold test so that we can know why she is not responding to the treatment.

please feel free to ask further if you want more clarification

dr t chandrakant.
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What Causes Sore And Painful Lump On The Neck?

HI. Thanks for an elucidate history. This looks to be tuberculosis unless proved otherwise, One can request for review biopsy just to clear the doubts. Please continue anti-tubercular treatment as the break is not a good idea. And these medicines are good antibiotics in itself. Typhoid by virtue of reducing the body-resistance gives way to the old not-clinically obvious infection like TB to come-up and show up as a disease. The while part which is removed is called a slough. Removing helps early healing. Please get her blood tests done related to hemoglobin, blood sugar, serum proteins, liver function tests, quantiferon TB gold test so that we can know why she is not responding to the treatment. please feel free to ask further if you want more clarification dr t chandrakant.