Fever

Male patient of age 70 Comes in opd with complain of fever and mild productive cough since 7 days Chief Complaints Fever Weakness Mild cough History Of taking medication zifi and zathrin But mild relief Throat cancer 20 years ago Vitals Bp:124/80 Temprature:99 Physical Examination Weak Pallor Investigations Platelets 1.2lakh Crp 22 Montoux positive Chest xray :NAD

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Considering age, Montoux test, it can be Pulmonary TB. To rule out sputum test will help. If positive then AKT 4 + Tab.Levoflox If Negative then treating accordingly will help to resolve symptoms. As per pandemic situations, suggesting swab test will help to rule out covid 19 as per age & comorbidities present.

Thank you doctor.
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Since m t is positive but figures are not given as positive mt is not sole test to consider tuberculosis if it is more than 15mm with raised esr you may consider further R/o kochs Pt has h/o throat malignancy hence need to reexamine from recurrence point of view

Thank you doctor.
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Throat cancer 20years. Present conditions Temperature 99°F Chest xRay Normal but montoux positive, SPUTUM AFB, ESR, Hb% test essential. Throat swab? COVID 19?? TUBERCULOSIS??? TRANSFER TO THE PATIENT PHC OR MEDICAL COLLEGE AND HOSPITAL.

Sir esr :15 Hb:11.2 Covid rapif antigen test negetive
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As per the current situation it’s better to go for COVID-19 RT PCR test F/B Suptum for AFB 3 Samples Till the report comes symptomatic treatment wil b helpful.

Thank you doctor.
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