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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Anti TB Drug Right Medication For Pulmonary Shadow In X Ray?

i am 35 years man diagnosed as a case of ankylosing spondylosis with taking sulphasalazine for last 2 year,recently i have develop cough with productive sputum with fever and weight loss for 2 month,my esr is 90,mt was positive,chest xray revel pulmonary shadow suggestive ptb,my doctor start anti tb drug and stop sul pha salazine,is it correcet?
posted on Fri, 14 Mar 2014
Twitter Thu, 14 Aug 2014 Answered on
Twitter Thu, 14 Aug 2014 Last reviewed on
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Pulmonologist,  's  Response
In my opinion you should first undergo sputum for AFB or bronchoscopy and BAL analysis. As pneumonia and TB both can cause pulmonary shadows so bacteriological diagnosis is important as TB treatment last for atleast 6 months. So better to confifm 100% before starting AKT. And you can definitely take both sulphasalazine and AKT togather.
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Is Anti TB Drug Right Medication For Pulmonary Shadow In X Ray?

In my opinion you should first undergo sputum for AFB or bronchoscopy and BAL analysis. As pneumonia and TB both can cause pulmonary shadows so bacteriological diagnosis is important as TB treatment last for atleast 6 months. So better to confifm 100% before starting AKT. And you can definitely take both sulphasalazine and AKT togather.