Lumps In Glandular TB Patients Still Present After Therapy?
good afternoon, I want to ask about the patient tb gland, if if the lump is still present can be declared cured and may stop taking medication? thank you
Hello, thank you for the question to HealthReplies.com
Basically glandular TB does have a slower therapeutic response compared to pulmonary TB. The gland can be permanent and may even enlarge during therapy or after therapy is completed. This does not always indicate a failure of tuberculosis therapy, but rather caused by an immune system response to dead tuberculosis bacteria.
In general in healthy adults (non-HIV), therapy for 6 months (2 months intensive phase and 4 months advanced phase) is sufficient to treat gland tuberculosis. However, further investigation is needed on patients who have lymph node lumps that are still present or enlarged after treatment. Patients need to explain honestly about adherence to medication and usually require a gland biopsy (usually a fine needle biopsy and acid-resistant bacteria are recommended, but it can also be recommended for culture if available) to see if there are still tuberculosis bacteria in the gland.
We recommend that after finishing therapy, you do control back to the doctor who treats you to do an evaluation of treatment results.
So much information from me, hopefully enough answer