Can Glandular TB In Children Come Back?

Illustration of Can Glandular TB In Children Come Back?
Illustration: Can Glandular TB In Children Come Back? mountnittany.org

Dear Alodokter,

1 Answer:

Hi Mia,


Thank you for asking HealthReplies.com.

After receiving treatment and being declared cured, lumps that arise due to swollen lymph nodes in people with tuberculous lymphadenitis (glandular TB) do not generally disappear completely quickly. Often times, these bumps will last for months, even years. Therefore, to determine the status of recovery, it is not the size of the lump that is the benchmark, but clinical improvement as well as the results of supporting examinations, such as blood tests, X-rays, sputum tests, biopsy, and so on.


In some cases, glandular TB sufferers who have been declared cured can experience re-infection (relapse). This condition usually occurs in people with poor immune system, for example children, the elderly, people with HIV, people with malnutrition, people who take long-term steroid drugs, or also cancer patients who are undergoing chemotherapy to treat their cancer. Not only that, the potential for recurrence is also more likely if the risk factors for TB infection are not addressed, for example in children who have close contact with other TB sufferers. Maybe, this condition is happening to your child at this time.


However, you also need to know that a child's weight gain that is difficult to gain accompanied by fever cannot only be caused by glandular TB. Several other conditions can also cause your complaints, for example hyperthyroidism, autoimmune disorders, colitis, gastrointestinal infections, cancer, or other chronic infections.


Therefore, you should not worry too much. Get your child checked directly to a doctor or pediatrician so that a more in-depth evaluation can be done regarding their complaint. Usually, the doctor will also recommend supporting investigations, such as blood tests, X-rays, thyroid function prints, ultrasound, and so on, to find out exactly what triggers your child's complaint. If indeed the TB gland recurs, then the doctor can return to providing OAT (anti-TB drug) therapy to deal with the complaint.


What you can do right now is:

Give your child healthy and nutrient-rich foods
Vary the daily diet, so that children's appetite increases and their nutritional needs are met
Give children lots of water
Alternate the child's mealtime by giving him healthy snacks, for example fruit, juice
Encourage children not to press or massage the lump on their neck excessively
If there are people around the child who show symptoms of TB disease, get them checked out so that they are treated immediately
If the child's body temperature rises above 37.5 degrees Celsius, you can give him the drug peracetamol to relieve the fever

Hope it helps ..

: by

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