Hi doctor,
During fitness examination I got know that I have bilateral apical pleural thickening in the chest x-ray, but neither in the past or current, I have any health complaints. So, the further investigation I did was PPD skin test and QuantiFERON TB gold test, which is positive 20 mm and 3.42 IU respectively. Kindly advised me if that is suggestive of TB infection. Do I need take anti-tubercular medicine? I am working right now in abroad. Can I prevent this from becoming active?
Hi,
Welcome to icliniq.com.
I have gone through your case, and I am of the following opinion.
- Your blood test and skin test are surely positive and are indicative of active tuberculosis. Your x-ray shows minimal pleural thickening, which shows past lesions.
- Now the issue is that you might have had subclinical TB in the past, which you did not come to know. Also, the skin and blood test does not tell you that you have TB of lungs. You might have TB somewhere else, which we are missing on x-ray.
- You should get a CT chest or a bronchoscopic biopsy to find out if there is TB of the lungs. Then, get an ultrasound of abdomen done to look for intestinal TB. Since QuantiFERON is positive, we cannot simply neglect it. It might be false, but still, we need to investigate.
- Medicines will be needed once we find out if there is an active lesion.
For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
I have tuberculosis arthritis and in severe pain. Kindly recommend some medicine.
.. show (attachment removed to protect patient identity) tubercular arthritis involving both hip joints with more extensive disease on the right than left. It is associated with synovial thickening and joint space reduction however there is not much... Read full
My 3.6 year old daughter has stomach pain and loose stools. Please help.Gastroenteritis goes well with the associated complaints of abdominal pain, diarrhea, and fever by bacteria or virus ... Sometimes, she complains of pain in the ab... Read full
What happens to a person taking ATT medicines when not having tuberculosis?Hello doctor, I am having severe pain in breast while breastfeeding. The pain is present only in the right breast while feeding. My son is 24 days old and I had started feeding since day 3. From then, I have been suffering from this pain. Though i... Read full
Comprehensive Medical Second Opinion.
