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Dr. Andrew Rynne

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Done With Ppd And Chest X-ray. Can Any On Line Doctor Help Me To Read This?

Greeting:

My 6-year old daughter did a PPD test. the nurse read the result has positive. However, though not of medical background, I read that the ppd test result should not be read has positive when just reddish, but when inflamed and hard. However, my daughter's was flat and little reddish. There was a subsequent test order for chest x-ray, which showed no signs of TB.
My kid's pediatrician prescribed 300 mg Rifampin as preventive treatment for six months, stating there might be some bacteria in the body that could cause T.B.

I have mix feeling about administering this drug to daughter, for fear that nothing is wrong with her and the ppd was read wrong and chest x-rays okay. and also because we are from west Africa and she might have had probable exposure and might have taken a preventive vaccine at birth.

Should I ask for further test, or wait for a year and do another chest x-ray to determine?

anxious mother
Tue, 7 May 2013
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Pediatrician 's  Response
Hi,

Thanks for writing to health care magic.
First of all why was that mantoux test done?
Is there any history of contact with a case of tuberculosis?
Is she gaining weight normally?
Is there any history of fever or cough?

Yes induration should be taken into consideration when noting the result of mantoux test and not just redness.

Continue to ask further queries as required.
Hope this helps.
Take care.
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Pediatrician Dr. E Venkata Ramana's  Response
Hi,

Thank you for your query on Healthcare Magic.

PPD measurement will be done by measuring the reddish area and induration.

If the test is positive and there are no symptoms and signs of TB infection, it is called latent TB and this should be treated with medication.

Nothing to worry.

Continue the medication as advised by your pediatrician and be in regular follow up till the completion of treatment.

Hope I have answered your query.

Regards.
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Done With Ppd And Chest X-ray. Can Any On Line Doctor Help Me To Read This?

Hi, Thanks for writing to health care magic. First of all why was that mantoux test done? Is there any history of contact with a case of tuberculosis? Is she gaining weight normally? Is there any history of fever or cough? Yes induration should be taken into consideration when noting the result of mantoux test and not just redness. Continue to ask further queries as required. Hope this helps. Take care.