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My Wife died because of tuberculosis and because of that one of the doctor started the treatment for tube with INH saying that there are possibilities that she might have got some of the germs for the tuberculosis however according to the results of mountox test, CBC report and chest x ray and along with that TB gold test my baby is absolutely fine now I am confused whether to get her to another doctor for the check up or shall i start the treatment for the tuberculosis which I am aware she is not suffering from please help me out as I know once the treatment for the tuberculosis will be started then the full treatment would be required to follow even if the problem is not there.
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Dr. Anil Kumar Jain
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Hello there. I can understand your concern for your baby since your wife succumbed to tuberculosis. Montoux test cannot be taken as a reliable test for active tuberculosis as it can come positive in cases of bcg vaccine individuals also. X-ray cannot be taken as a sole test for tuberculosis but just as a supportive proof. The best test for tuberculosis is by seeing the mycobacteria under the microscope. Which is done in cases of sputum examination. TB-Gold is a interferon gamma release assay once it comes negative, the question of both active and latent infection can be put to rest. For as for the course of Isoniazid you will need to consult a pulmonologist. I feel its better to give her a course of it. Best regards. Dr.Anil Kumar Jain.
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Sir. Since you have mentioned that your wife suffered from tuberculosis, you already have some idea about basic diagnostic test to diagnose tuberculosis. The basic test usually done is sputum examination and sputum culture for detection of microorganisms. X- ray can support the clinical diagnosis. Most of the times this is correlated with the patients medical history. There is also a DNA-PCR technique done in only few centers, which can dectect the microorganisms. The bcg vaccination given to the baby is generally protective against miliary tuberculosis, TB meningitis. Based on the report you are saying that the common test done are normal, there is less chance for your baby to have tuberculosis. But since you are stressed about it, kindly consult a pulmonologist for your queries.
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