If sputum for AFB and CBNAAT is negative,xray is s/o pul kochs can we start ATT

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It's important get microbiology evidence of tuberculosis It is worth repeating test for Sputum for AFB, CBNAAT, TB culture,

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Without second thought ATT to be started as sputum etc do become positive in due time

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start att definitly

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This patient may be of past pulmonary kochs chest. & in some cases according to clinical basis for example increase ESR & pulmonary effusion we start ATT

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