Topic

Now diognized with lymph node TB

Hello Doctor Sorry to pester you again. In our previous conversation you had mentioned that there was no risk in the massage activities that I had encountered and there is no need for testing / worry about any STD. After this episode I have never ventured out for any massage or any kind of sexual activities. However since last one month I have a swollen lymph node (supraclavicular) on the right side of the neck. Doctor ordered for a CBC and "Quantiferon TB Gold" blood tests. The TB test has come positive. Today I had a needle biopsy and the doctor who did the biopsy also said she strongly suspects this to be TB. Now I am really shattered. After googling on Lymph node TB I got to know that TB (especially the lymph node TB) is most common in the HIV positive ppl. Now I am extremely scared and loosing hope. Request your sincere advise on the situation at the earliest. Also please let me know how common is it to acquire TB if a person is HIV+ve for 10 months.

2015-04-03 02:22:52

Amy

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Welcome back to the forum. I'm sorry to hear of your tentative diagnosis of tuberculosis; I'm sure it's upsetting. However it remains unlikely you have HIV. You are correct that TB can be a sign of an underlying HIV infection. However TB also is common in people without HIV especially in underdeveloped and developing countries like India. You should be tested for HIV; I assume your doctor has recommended you do so and perhaps already sent the test. However based on the risk history you described in your questions on the forum several months ago you can expect a negative result. TB is usually a late complication of HIV i.e. in people with longstanding infection and overt AIDS; it isn't something likely to show up only a few months after catching HIV. I repeat that your HIV test probably will be negative. If it's positive it won't be from the safe sexual practices you described in your questions on the forum a few months ago. You would have to go back to other perhaps unrecognized risks for HIV infection. Please return with a follow-up comment to let me know the result of your HIV test as well as the final result of testing for tuberculosis. In the meantime concentrate on your tuberculosis. TB itself is serious and sometimes life-threatening so the important thing at this point is to confirm the diagnosis and if confirmed to be treated properly.

2015-04-03 02:23:28

David