Biopsy Results, Chest X-ray And Blood Laboratory?
I am a woman aged 30 years .. Having swollen lymph nodes in the right neck since August 3, 2018, initially on the right shoulder blade .. After meeting the internist, I was suspected of suffering from tb glands .. But after taking TB medicine from the health center, my swollen KGB instead it multiplied to the back of the right ear, right armpit and now on my left neck .. What I want to ask is whether I really suffer from TB? The following results of tests I have been through … Surgical biopsy: Chronic lymphadenitis X-ray: foggy right lung Sputum: negative HIV: negative Blood test: WBC 17.60×10 ^ 3 / uL (H) Neu% 90.4% (H) Lym% 7.5% (L) Mon% 1.9% (L) Eos% 0.2% (L) Bas% 0.0% RBC 4.60×10 ^ 6 / uLHGB 11.4 g / dLHCT 35.4% (L) MCV 77.0 fL (L) MCH 24.8 pg (L) MCHC 32.2 g.dLRDW- CW 13.7% RDW-SD 44.3 fLPLT 471×10 ^ 3 / uL (H) MPV 7.9 fLPDW 15.4PCT 0.372% (H) LED 119mm / hour Does the test results indicate that I am exposed to tb? And is it enough to make the diagnosis tb? Thank you..
Good afternoon, thanks for the question
In TB lymphadenitis the main symptom is a lump in the neck numbering more than one fruit, the size of a marble, palpated close together, and can be painful. Other common complaints are weakness, fever, cough, and weight loss. The number of enlarged lymph nodes depends on the number of TB germs that infect. Generally it can also enlarge to form a type of boil.
The diagnosis of TB lymphadenitis is confirmed by biopsy examination of the lymph node tissue involved. If a typical picture of tuberculosis is obtained, treatment is immediately started using a TB drug regimen. The tissue biopsy is considered as suggestive of TB if giant multinucleated cells, datia langhans cells and histiocytes are found. Chest x-ray examination can help to find out whether there is involvement in the lung organs.
In your case you need to confirm the results of the lump biopsy examination. While other tests such as x-rays and blood tests (there is an increase in LEDs) can lead to TB infection.
If indeed TB treatment has begun, routine evaluation is needed to assess the treatment response to this disease. This treatment is not a short time, but at least for 6 months to ensure the infection has been handled completely. Therefore it is important to undergo treatment routinely and obediently. Consult with your doctor if you experience complaints during this treatment.
That's all, hope you can help