Tuesday, February 17, 2015

Ominous signs

Today, in outpatient, I had a 30 year old lady walking in. Her history was quite shocking. 

Diagnosed to have tuberculosis without a sputum AFB more than a year back, she was on treatment for almost 10 months with a multitude of medicines including 90 injections of streptomycin. 

The problem was that she had not felt better throughout the course of her treatment. 

Below are 3 X-Rays she had with her. 

Feb 2014

Sept 2014

Feb 2015
I await for her sputum AFB. 

I'm not sure if I would do justice to her if I just refer her to a higher center nearby. 

Earlier in the day, I had another patient who was invariably depressed. The interesting thing was that this guy had absolutely no symptom suggestive of tuberculosis. However, he was on anti-tuberculous medications since the last 2 months. The reason - - - some doctor had done a Quantiferon TB Gold Test on him and it was positive. 

Just a glimpse of the scenario of tuberculosis control in the country. 

Of course, I would be glad to get feedback on the management of the patient . . .   

1 comment:

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