Q. My cough lasted only for a week and the doctor says it is tuberculosis. Please help.

Answered by
Dr. Indu Bhushan Kumar
and medically reviewed by iCliniq medical review team.
Published on Jun 20, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

  • There is parenchymal infiltrate on the right upper lobe of my lung.
  • My doctor said that I have a ptb3, which looks like a serious stage of tuberculosis.
  • I was shocked because I never had a cough since September.
  • Before the month of September, my cough lasted only for a week and then suddenly went off and I feel all right until now.
  • I never had a fever or cough again.
  • I searched through internet about the symptoms of tuberculosis and I found that I experienced none of those symptoms. Please help.

Dr. Indu Bhushan Kumar

Radiodiagnosis
#

Hi,

Welcome to icliniq.com. 

  • Only parenchymal infiltration in the right upper lobe does not confirm tuberculosis.
  • It needs clinical correlation and further investigations.
  • You need an apicolordotic view of chest x-ray.
  • It gives an excellent view of apical region of lungs.
  • Because, in the normal chest x-ray (PA view), apical region of lungs are covered by bony ribs, clavicle etc.
  • You also have to do routine hemogram, Mantoux test, TB Gold Test (it is the most sensitive test to diagnose tuberculosis).
  • In such cases, I would suggest broad spectrum antibiotics and then go for follow up chest x-ray.
  • In non resolving infiltration, I exclude other possibilities like tuberculosis etc.
  • There is no need to panic, you should go for investigations and the treatment will depend upon the findings.

Revert back with the reports to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist

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