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I am attaching a report of my kid. The report says TB positive.
Can you pls suggest if further evaluation is required or we can start medicine as per doctor. Some are saying further test some saying direct to start the medicine. Which one to consider?
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1. Complete Blood Count (CBC)
Hemoglobin (Hb): 12.8 g/dL (Normal: 11.5 – 15.5)
RBC Count: 4.41 mil/cu.mm (Normal: 4.0 – 6.2)
Packed Cell Volume (PCV): 37.6% (Normal: 35 – 45)
Mean Cell Volume (MCV): 85.26 fL (Normal: 77 – 95)
Mean Cell Hemoglobin (MCH): 29.02 pg (Normal: 25 – 34)
Mean Corpuscular Hb Concn. (MCHC): 34.04 g/dL (Normal: 31 – 37)
RDW: 12.0% (Normal: 11.6 – 14.0)
WBC Count: 5650 /cu.mm (Normal: 5000 – 13000)
Neutrophils: 54.7%
Lymphocytes: 38.7%
Monocytes: 3.7%
Eosinophils: 2.2%
Basophils: 0.70%
Platelet Count: 174 x10³/μL (Normal: 170 – 450)
Mean Platelet
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I can understand your concern. It may not be easy for doctors to decide if to start medication or not right away. Even in this scenario you need to decide if to start treatment or give you an option of prophylaxis.
What are your kids symptoms?
First of all the test positivity suggests that your child has been exposed to Tb, not directly Tb infection.
Next step is to rule out if she has active infection.
She might need a CT thorax for better visualization.
I feel you go ahead with further evaluation of the child.
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