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Active TB
Dec 10, 2001

Dear Doc,

Diagnosis of my right axillary lymph node biopsy says caseous granulamatous inlfamation. ABF stains positive for acis fast test. My chest x-ray is clear. Is it active TB or just came in contact with?

I had BCG so i had positice skin test previously

Your input will be appreciated.

Response from Dr. Feinberg

TB can manifest itself as in infection of lymph nodes (TB adenitis) without active chest disease. Also-- there are other germs related to TB which are also acid-fast and cause caseating granulomas on biopsy, such as Mycobacterium kansasii or M. avium complex. You have active disease, since it's causing infection of your lymph nodes, it's just a matter of finding out exactly what germ is doing the damage. You should be treated with a combination of drugs for TB while you wait for results of the cultures that were done from your biopsy material. Good luck!


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