The Sputum Test Was Negative For Pulmonary TB But The X-ray Was Positive?

Illustration of The Sputum Test Was Negative For Pulmonary TB But The X-ray Was Positive?
Illustration: The Sputum Test Was Negative For Pulmonary TB But The X-ray Was Positive? erj.ersjournals.com

, I want to ask, the sputum and blood test was stated if I was not affected / negative for TB, but the lung examination resulted in a lung infection or possibly TB. So what I want to ask. Actually, I have TB or not? R nI am confused

1 Answer:

Hi Marsella .. Thanks for the question.


Pulmonary TB is caused by the bacteria M. tuberculosis. Symptoms that appear in TB sufferers include: prolonged cough, can be accompanied by coughing up blood, chest pain when breathing or coughing, fatigue, weight loss, excessive sweating at night. This disease is easy on people who come in contact with TB sufferers and have low immunity.


For the diagnosis of pulmonary tuberculosis, the doctor will assess from the history / interview the course of the disease, the symptoms that appear, physical examination, and supported by sputum checks, and lung X-rays. If from the results of the 3x sputum test (any time in the morning) only 1 positive result can be diagnosed, then it can be diagnosed as pulmonary TB and must undergo TB treatment. If the sputum test results are negative, the doctor can give antibiotics that are not TB drugs. If there is improvement, then the diagnosis is not TB. However, if the antibiotics do not improve, you can repeat the sputum examination. On the sputum check again, if the result is 1 positive then it is diagnosed as TB. but if the result is negative then an X-ray can be done and on the doctor's consideration can be diagnosed as TB.


From the diagnostic flow described above, it is like in your situation where the sputum check is negative but from the results of the lung X-rays it leads to pulmonary TB, then on the doctor's consideration, you can diagnose pulmonary TB and need to get pulmonary TB treatment for 6 months.


If you still want to consult or your cough is still there, there are TB symptoms that you are experiencing so you can go back to a general practitioner or a pulmonary specialist. Meanwhile, what you can do:



Use a mask and avoid throwing phlegm carelessly
Improve air circulation in your home and try to get sunlight
Eat a balanced nutritious diet to increase endurance
Perform regular treatment until complete

May be useful


dr. Iriyanti

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