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In active pulmonary TB, infiltrates or consolidations and/or cavities are often seen in the upper lungs with or without mediastinal or hilar lymphadenopathy. [1] However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest X-ray may even appear entirely normal. [1]
The results of this test must be interpreted carefully. The person's medical risk factors determine at which increment (5 mm, 10 mm, or 15 mm) of induration the result is considered positive. [12] A positive result indicates TB exposure. 5 mm or more is positive in An HIV-positive person; Persons with recent contacts with a TB patient
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Drug-resistant TB is a serious public health issue in many developing countries, as its treatment is longer and requires more expensive drugs. MDR-TB is defined as resistance to the two most effective first-line TB drugs: rifampicin and isoniazid.
The medical history includes obtaining the symptoms of pulmonary TB: productive, prolonged cough of three or more weeks, chest pain, and hemoptysis.Systemic symptoms include low grade remittent fever, chills, night sweats, appetite loss, weight loss, easy fatiguability, and production of sputum that starts out mucoid but changes to purulent. [1]
Contrary to this, however, studies have shown that the tine test can give results that correlate well to the Mantoux test. [ 7 ] [ 8 ] If a minor reaction is considered doubtful, the OT test is less accurate and may fail to detect TB, producing a false negative. [ 2 ]
The needle points were dipped in tuberculin purified protein derivative (PPD) and pricked into the skin. [5] A Heaf gun with disposable single-use heads was recommended. The gun injected PPD equivalent to 100,000 units per ml to the skin over the flexor surface of the left forearm in a circular pattern of six.
TVC is one of the many forms of cutaneous tuberculosis, such as the tuberculous chancre (which results from the cutaneous inoculation in immunocompetent people without previous exposure), and the reactivation cutaneous tuberculosis (the most common form, which appears in previously infected patients).