#ItsTime

#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?

7 Likes

LikeAnswersShare

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
0

View 3 other replies

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
0

IT'S A..CASE OF.. SWELLING NECK.. ? ABSCESS.. ? TB .. ? THYROID PATHOLOGY.. NEED'S.. * HEMOGRAM.. * TFT.. * FNAC.. * USG STUDY..

Tnx Dr Shivraj Agarwal sir
0

View 1 other reply

* SUPRATENAL TUBERCULAR ADENITIS PROGRESSED TO COLD ABSCESS. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN.

Thanks Dr Pushkar Bhomia
0

View 2 other replies

May be Tubercular pyogenosis. Aspiration and confirm the diagnosis.

Swelling in suprasternal Mt positive with family history goes in favour oftblyumphadenitis do xray chest usg guided fnac HP culture and sensitivity cbnat dd abscess do ct scan to see extent avoid I& d if tuberculous aspirations repeated advisable

Agree with Dr Sandip mishra Two pictures posted for same patient Then what was the time gap between the two pictures Clarify

History, investigation findings are highly suggestive of tubercular abscess.. FNAC can be done. I & D and pus analysis for AFB, CBNAAT if pus +

Clinical exam. Of swelling, ultrasound of neck. Thyroid profile by FreeT4and TSH shoud be prformedreview all report.. MT is not much significant at 21yrs age. Xray chest.

Possibly SuprasternalInflammatory Pathology like Abscess.Advised correlation with imaging,Aspiration,If pus for C/S,AFB & CBNAAT.

Load more answers