Latent Tuberculosis Infections

Latent tuberculosis infection is when the person has tuberculosis but does not show any symptoms. The only way to know that the person has tuberculosis is when the person undergoes a tuberculosis blood test. They cannot spread the tuberculosis bacteria to others. And if the latent tuberculosis bacteria become active and multiply in the body, then the person can get sick with tuberculosis disease.

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My chest X-ray shows bilateral apical pleural thickening. What could be the reason?

Query: Hi doctor, During fitness examination, I have learned that I have bilateral apical pleural thickening in chest X-Ray, but neither in the past nor currently do have any health complaints. I have done PPD skin test and QuantiFERON-TB Gold Plus, which are positive 20 mm and 3.42 IU, respectively. Again...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi doctor, Welcome to I understand your concern. You have no symptoms of tuberculosis, but there are definite signs, and diagnostic tests also refer to the presence of tuberculosis (TB) bacteria in your body. You have no active infection but have latent TB. As you have latent (inacti...  Read Full »

What is the treatment for inhaling drywall dust?

Query: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge ...  Read Full »

Dr. Amol Kumar Wasudeorao Diwan

Answer: Hello, Welcome to I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) After silica exposure you are suffering from what is called as acute silicosis. Acute silicosis results from short term exposure to very large amo...  Read Full »

Should I get treated for my latent tuberculosis infection?

Query: Hi doctor, I have done a left BKA (below the knee amputation) due to an automobile accident. I did a TB skin test recently and the result was negative. I had an IGRA (interferon gamma release assay) for work because I did not have enough time for a two-step and was positive. I had an X-ray done and ...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I understand your concern. I have gone through the reports (attachment removed to protect the patient’s identity) you have attached. Please reply to me with answers to the below-asked questions so that I can guide you better. 1. Any symptoms like cough, low-grade fever,...  Read Full »

I am diagnosed with latent TB without any symptoms. Are the prescribed TB medications safe?

Query: Hello doctor, I have been diagnosed with latent TB and was prescribed medications for it. I have attached a copy of the reports below. I want to consult a specialist before I start my prophylactic course.  Read Full »

Dr. Sugreev Singh

Answer: Hello, Welcome to Thank you for writing, and I understand your concern. I have gone through your reports (attachments removed to protect the patient's identity). It is suggestive of TB (tuberculosis), but before starting the treatment, you should get a chest x-ray, LFT (liver function...  Read Full »

The chest x-ray shows atelectasis, fibrosis, parenchymal nodular opacities, and patchy consolidation of the right upper lobe. What are the reasons?

Query: Hi doctor, My mother's X-ray indicated the following results: hyperinflated right mid and lower zones, atelectasis, fibrosis, parenchymal nodular opacities, and patchy consolidation of the right upper lobe and the entire left lung features suggestive of sequelae and pulmonary tuberculosis. Our docto...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi,Welcome to the reports attached (attachment removed to protect the patient's identity), the findings indicate a past history of tuberculosis. Your mother's lung shows scarring and fibrosis due to a healing mechanism known as tuberculosis sequelae. Is there any history of tubercul...  Read Full »

What is the recommended duration for medication in bone and pulmonary tuberculosis (TB)?

Query: Hi doctor, I am suffering from left-side hip pain for the last four months. The pain initially started while walking, but the pain is more acute for the previous two months. I am using an elbow crutch while going on the staircase, wearing hip support, using Volitra spray, and a hot water bag. I hav...  Read Full »

Dr. Maddika Sivasankarreddy

Answer: Hi, Welcome to will cause pain. I suggest you start TB (tuberculosis) medications otherwise, it will progress, and later you will develop arthritis, so begin as early as possible. Sometimes all tests are inconclusive initially, no need to do further testing for the next three m...  Read Full »

What does fibrosis in the X-ray indicate?

Query: Hello doctor, I did my pre-employment exam a few months back, and they saw some fibrosis in my X-ray. However, this still needs to be confirmed. Unfortunately, I cannot provide any sputum since I do not have any cough even until now. Is there any other way for me to know what I have?  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thanks for the query. I can understand your concern. According to your statement, you have fibrosis on the left upper lung according to your X-ray report (attachments removed to protect the patient's identity). The causes for the fibrosis are previously healed tuberc...  Read Full »

Does Doxycycline affect the accuracy of sputum report?

Query: Hi doctor, I am a 45 year old female. I am getting on and off cough. I have lost 5 kg in the last two years. My CT shows atypical changes and QuantiFERON TB test shows positive with a reading of 0.38. I am waiting to get my sputum test result. I am currently on Doxycycline 100 mg per day and this i...  Read Full »

Dr. Nageswara Rao

Answer: Hi, Welcome to As per your symptoms, pulmonary tuberculosis have to be ruled out. Weight loss of 5 kg in two years is not significant. But, on and off cough with breathlessness is significant. QuantiFERON TB is not a diagnosis of active TB, It shows latent TB. Your CT findings (attachme...  Read Full »

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