Extra Pulmonary Tb

Extrapulmonary tuberculosis is an infectious disease that is caused by a bacterium called mycobacterium tuberculosis. This type of tuberculosis occurs in organ systems other than the lungs. Some of the symptoms of extrapulmonary tuberculosis are fever, chills, malaise, and dyspnea.

  
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My mom has back pain, and might have spine TB. Please help.

Query: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is tak...  Read Full »


Answer: Hello, Welcome to icliniq.com. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). If she has received ATT (antitubercular therapy) for tubercular meningitis 10 months ago, it is highly unlikely that she has ...  Read Full »

I have a tuberculosis lump. How long should I get treatment?

Query: Hi doctor, How long should I take treatment to dissolve a tuberculosis lump? I have been detected this lump two years back. I showed it to the doctor where I was asked to take RHE-FD for two months which got extended to three months and stopped but the lump was not completely dissolved. Then again I...  Read Full »


Answer: Hi, Welcome to icliniq.com. Any anti-tuberculosis regimen has to be taken for a minimum of six months for pulmonary tuberculosis and nine months for extrapulmonary tuberculosis. Your tuberculosis appears to be extrapulmonary. There is no indication to stop treatment after three months even if test...  Read Full »

Can I have water while fasting for a thyroid profile test?

Query: Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nost...  Read Full »


Answer: Hello, Welcome to icliniq.com. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: USG (ultrasonography) of the pelvi...  Read Full »

I have been diagnosed with extrapulmonary tuberculosis but the doctor also advised me a test for HIV. I never had sex and every time I get a needle, I make sure it is new. Should I go for the test?

Query: Hello doctor, I have been diagnosed with extrapulmonary tuberculosis (pleural effusion). But the doctor had also advised a test for HIV. I never had sex and every time I get a needle (for blood tests or medical purposes), I make sure it is new. Should I still go for the test? Thank you.   Read Full »


Answer: Hello, Welcome to icliniq.com. I can understand your concern. HIV (human immunodeficiency virus) can only be transmitted by sexual contact (anal or vaginal or oral), blood transfusion, exchange of contaminated syringes or needles, or an HIV-infected mother can transmit it to her child during pregn...  Read Full »

Is it safe to switch from tablet Akurit 3 to Akurit 4 in the middle of the treatment?

Query: Hi doctor, I have been suffering from hip pain for the last nine months. I did an MRI five months ago, which showed mild synovial in my hip. The doctor suspected bone TB and prescribed me medications for it. Four months ago, I had an MRI. The reports were normal. I took the tablet Akurit 4 for two m...  Read Full »


Answer: Hello, Welcome to icliniq.com. I understand your concern. To monitor the treatment response, you should get an ESR (erythrocyte sedimentation rate) and a CRP (C-reactive protein) test. Repeating an MRI (Magnetic resonance imaging) after four months is unnecessary. Tablet Akurit 4 (Isoniazid 75mg,...  Read Full »

What are the symptoms of the advanced stage of AIDS?

Query: Hi doctor, Eight months back, my best friend's husband, who is 53 years old, was diagnosed with positive HIV (Human Immuno deficiency Virus), hepatitis B and lymph node TB (Tuberculosis). He is taking proper medicine, but gained so much weight. Now, for over a week, he has been having cold and cough...  Read Full »


Answer: Hi, Welcome to icliniq.com. Extra pulmonary tuberculosis, that is (Tuberculosis)TB other than of the lungs is usually an indicator of poor immunity and can be seen in advanced stages of HIV (Human Immunodeficiency Virus). However, CD4 count also plays a very vital role in determining if the patient ...  Read Full »

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