Pulmonary TB is ruled out

Kindly see the attached case below I have attached the sputum for CBNAAT(Genxpert) report She had undegone sputum for AFB in December too which was negative

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Options are 1) Get HRCT done and based on report start empirical antituberculosis treatment 2) Repeat sputum for AFB gene Xpert and AFB culture three times 3) Get bronchoscopy lavage which is far more sensitive and superior technique to get AFB culture and gene Xpert.

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Sir - the report is not legible . But if in doubt for Pulmonary tuberculosis- get CECT chest done along with sputum for AFB for 3 consecutive days , ESR , montaux test

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Report is negative hence pulmonary tuberculosis is r/o If you will review my opinion given in case presentation you will find i have opined about covid19 pneumonitis as GGOs are well seen significantly It is a c/o covid infection and treat under ICMR protocols

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Adv HRCT thorax. Sos AKT

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Do fasting sputum afb for 3 days Cbc crp mt xray chest Check for any lyumphadenopathy fnac hp

Report is not legible. PTB in doubt get CECT chest. Repeat sputum for AFB. Correlate clinic finding.

Thanks Dr Pushkar Bhomia
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Xray chest 3 morning sample of sputum AFB then r/0 Koch's ESR CRP mt hrct then decide

Gene expert is negative for mdrtb
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A F B in Sputum can be grown by guniepig innoculation

Trial ATT may be started for 15days for diagnosis & final tt. Before trial ATT ,Sputum AFB for 5 consecutive days. Also test for Malaria & Typhoid. Provisional diag. Koch's or Corona fever .?

Pyothorax.

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Pulmonary Tuberculosis
Pyothorax
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