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#tsTime A 21 y/o/f came with h/o fever, anterior neck swelling, and weight loss of 3.5 kg for 3-4 months. The family history was significant for TB in one brother. On examination, she had marked swelling of anterior neck with no lymphadenopathy. Clinically, she was euthyroid. The systemic examination was unremarkable. Her CBC was normal with an ESR of 25 mm/1st hour. Mantoux test was positive. The routine biochemistry were all Wnl. What next should be done?

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Suprasternal swelling now seeing is reddish inflammatory Raised esr Positive mt F/o tuberculosis Euthyroid status All suggest it is supraternal tubercular adenitis progressed in to cold abscess Aspirate for analysis ATT
Thanx dr Vedprakash Sharma
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Tubercular abscess. Anti gravity incision and drainage and send pus for culture and sensitivity, AFB staining, CBNATT testing . If tests are positive for tuberculosis- ATT to be started
Agŕee
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History, investigation findings are highly suggestive of tubercular abscess.. FNAC can be done. I & D and pus analysis for AFB, CBNAAT if pus +
* SUPRATENAL TUBERCULAR ADENITIS PROGRESSED TO COLD ABSCESS. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN.
Thanks Dr Pushkar Bhomia
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IT'S A..CASE OF.. SWELLING NECK.. ? ABSCESS.. ? TB .. ? THYROID PATHOLOGY.. NEED'S.. * HEMOGRAM.. * TFT.. * FNAC.. * USG STUDY..
Tnx Dr Shivraj Agarwal sir
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Suprasternally located abscess.i&d.pus to be sent for afb,cbnaat, followed by definitive treatment.
SUGGESTIVE OF TUBERCULAR ABSCESS...???.. SEEMS. TO BE ...TREATED. PATIENT...
You have already posted the photos of the patient Pre & post treatment.
Tubercular abscess Ad CBNAAT Sputum exam USG of neck
Great job but continue ATT at least for 9 months.
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