Recently Answered Questions
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What does my child's Mantoux test indicate?
Query: Hi doctor, My kid is 2.5 years old. She keeps getting cough and cold every month. She is very sensitive to weather change. We consulted a local doctor and he advised for Mantoux test. The report says that the erythema and induration developed around 18x16 mm area after 48 hours. What does it mean? A... Read Full »
Answer: Hi, Welcome to icliniq.com. Recurrent episodes of cough and cold occur when the child has decreased immunity due to some illness or it could be a symptom of tuberculosis. Mantoux test of more than 10x10 mm is suggestive of tuberculosis. In your child, it is 18x16 mm which is strongly positive. In tu... Read Full »
How to treat my multidrug-resistant tuberculosis?
Query: Hello doctor, I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. If it is... Read Full »
Should I continue medicines for bone tuberculosis even if I do not have any symptoms?
Query: Hi doctor, This question is about medicine duration for bone TB treatment. I was having left hip pain, and MRI showed mild synovitis in the left hip one year ago. The medication was initially started suspecting bone TB. There was a repeat MRI after four months of completion of medicine and everythin... Read Full »
Answer: Hello, Welcome to icliniq.com. The answers to your questions are as follows: 1) Duration of treatment is nine months and you have exceeded that, the only need to extend treatment is if the symptoms or if blood parameters are raised. In your case, symptoms, CRP, and ESR are normal. 2) No if the s... Read Full »
I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back.
Query: Hi, I was suffering from tuberculosis (Koch's disease) a year back which got cured. And now I think, I am getting the same disease back. What should I do? Read Full »
Answer: Hi, Welcome to icliniq.com. I am not sure what makes you think you are getting the disease back. It needs a medical examination to prove if you are right in your fear. But if that is the case, then it can be dangerous, as subsequent TB infections are mostly resistant to medicines and then it becom... Read Full »
What are the reasons for my child's high fever, joint pain, and rashes on anti-tubercular treatment?
Query: Hi doctor, My daughter, who is 7 years old, is on ATT for the last five months. She had fever and knee joint pain on the right side for over one and a half month. Mantoux was positive and CT and x-ray showed hilar lymphadenopathy. Bronchoscopy, GL, bone marrow and CSF were done, but no AFB found. M... Read Full »
Answer: Hello, Welcome to icliniq.com. Tuberculosis is a worrisome disease. As the kid has been already diagnosed with it and you have already started treatment, the symptoms should start resolving by now, since it has been two months already. If symptoms not resolving we should think of medication ... Read Full »
Can abdominal tuberculosis recur?
Query: Hi doctor, I am a 21-year-old boy. Two and a half years ago, I got so weak by regular diarrhea (that last for six months), before that, my weight dropped to 47 kg. After visiting several doctors, I was finally diagnosed with abdominal tuberculosis. So the doctor started my medications course that l... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, it does seem to be TB (tuberculosis) again, most probably multidrug-resistant tuberculosis (MDR-TB). So less likely, it is a relapse. If you have a fever and weight loss, similar intensity pain, and diarrhea as it was two and a half years back, you can think of re... Read Full »
What is the exact issue of my health?
Query: Hi doctor, I am an 18 year old female. I am suffering through a number of physical issues since two years. At first, it all started from sudden loose motion. I often got admitted in hospital for this reason. I visited many reputed doctors, but none of them was able to reach any conclusion. At last I... Read Full »
Answer: Hello, Welcome to icliniq.com. I am so sorry to hear all that you have been going through and here is my thought process. I think you have an autoimmune disease; most likely SLE (systemic lupus erythematosus) or mixed connective tissue disorder or myositis. Did you have any work up for that? Also, w... Read Full »
My mother had TB meningitis and is now suspected to have tubercular spine. 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 »
Query: Hi doctor, Is there any MDR-TB test for formalin based tissue? I had biopsy, but they dipped it in formalin. Now I asked for another biopsy for GeneXpert test. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. The GeneXpert test is a molecular test which detects the DNA in TB bacteria (tuberculosis). Formalin treated tissue might have TB bacteria which are dead and do not have viable DNA material. Therefore, repeat biopsy has been suggested. For further information consult a pa... Read Full »