Loading...

Skip Navigation LinksHome > Support Groups > Discussion Messages
Lungs and Respiration :
Tuberculosis / Pulmonary Tuberculosis / Lung Tuberculosis / TB

Tuberculosis (TB) is a common infectious and often deadly disease caused by the bacteria mycobacterium tuberculosis. When it attacks the lungs, it is called pulmonary or lung tuberculosis.

Join the TB online support group to meet other families coping with TB and doctors who treat the disease.

 

Join this Group


 











Loading...

Discussions
Add a topic Recent discussions
Start watching this topic
TB

i got a patient admitted 5 days ago. He is 12 years old and his weight on admission was 22.4kg. After 2day his weight went down to 19kg. He had cough, SOB, palpitation for a month. He had made several visits to doctors and had been treated with oral antibiotics as an outpatient. But there was no improvement . We had a chest XRAY done and there was massive effusion,which was confirmed with a chest CT and USS. Then we started looking for the cause. TB screening was done during 1st day of admission and it was negative. We had a pleural fluid analysis done and high protein ,cytology showed an inflammatory process. But PCR had not yet been done by the managment till the 2nd say after admission. Ampiclox ,Ceftrixone,Voncamycin,Gentamicn,Cefotaxime were precribed and eventually antituberculous management was started on empirical basis with no solid evidance, which was about a week ago. Also a chest tube is put, which drained around 3litres on the 1st day. However the patient is deteriorating : dyspenic , LOA,LOW ,oxygen dependant and cachexic. Chest xray is the same. Kindly help me and tell me what I should do?

Posted on : Tuesday, November 17, 2009 10:58 AM
Add reply       No of replies : 1

Report Abuse

You can help us in removing abusive content or spam.
Your Name
Your Email ID
Subject
Message
(Maximum 3000 Characters)
  
 
Get a CT of the chest, do blood gases and Renal profile. Has the heart been assessed by an ECHO?
Replied on Tuesday, November 17, 2009 11:26 AM
 


Member Sign In

Remember me
Forgot Password?
Sign up now


Medwonders has 257146 Members and 444 Groups.
Last Updated - Nov 02, 2024 - Designed & Content Managed by Medindia4u.com Pvt. Ltd.
Copyright © 2024 Medindia4u.com Pvt. Ltd. All rights reserved.