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February 10, 2012

Patient Discussions: Tuberculosis - How Was Diagnosis Established

Question:How was the diagnosis of your tuberculosis established?

Comment from: pucca31, 25-34 Female (Patient) Published: September 24

I started with tuberculosis symptoms 12 months before I was diagnosed. Night sweats and a cough were the first signs, then chest pain, fevers, sputum, weakness and weight loss. I had to go to my doctors on five occasions to be told that I had a chest infection, asthma and pleurisy. Eventually, a chest X-ray and blood were taken to discover it was tuberculosis (T.B.). By that time I was really ill and weak. I recall this as a nightmare. I then was taken to two drugs after a couple of months and my symptoms came back. I had to be isolated for nearly two months and given second-line drugs such as streptomycin injections. I had a six-drug therapy which made me feel sick all of the time. It was not nice. I panic every time I have an infection or a cough. I worry that it might be back to haunt me.

Related Reading: tuberculosis | Night sweats | chest pain

Comment from: rahul, 25-34 Male (Patient) Published: June 24

I had pain in the right side just under my arm pit and down to my rib cage. I only had pain when I coughed, hiccupped or stretched out my right arm. My doctor initially thought it a strained muscle but after 3 days of treatment she sent me for X-Ray which found a small spot on the upper part of my right lung and some fluid at the base. She diagnosed TB and after giving me some injections, put me on a course of tablets twice a day. She told me that the condition was not serious but would take up to 6 months to remove the symptoms.

Comment from: Don, 25-34 Male (Patient) Published: May 04

During my second semester at the graduate school where I was taking my MBA, I started waking up in the middle of the night soaked in sweat. A week after I started to have a fever every afternoon and felt some pain in my back. Shortly after a few days my cough started, so I went to the doctor and he told me it was just a mild case of respiratory infection and he just gave me antibiotics. After a week with no visible improvements, I decided to go to a pulmonologist and he finds out from my chest x-ray that my right lungs is positive with fluid, so I had to undergo thoracentesis. Just after 2 days, the pleural fluid test result came out that I was positive with TB. It was so hard for me to accept that I had to stop studying for more than four months just to be sure that I won't be able to infect my friends and classmates. I hope it won't come back ever again.

Related Reading: fever | chest x-ray

Comment from: Steve, 25-34 Male (Patient) Published: April 14

My lymph nodes in the neck (to the right) started swelling up. Usually one node would swell up to quite a large size and the surrounding nodes to a lesser degree. The lymph node would return to normal size in around two to three months. Sometimes there would be no swelling for a few months and then another node would swell up again. Initially, doctors thought of it as a minor infection but later asked me to get the skin test done. The test confirmed it as tuberculosis. I am currently undergoing treatment.

Published: July 25

I was seeking a visa for one of the Gulf State countries and following procedure I had a skin test which proved positive (25mm). After consultation and x-rays the tuberculosis was tracked down to my right kidney. It could not be certified as latent and I therefore have undergone Quadra therapy with little adverse effects.

Comment from: sally, 25-34 Female (Patient) Published: February 20

I was coughing for weeks, waking up in the morning on numerous occasions saturated in sweat but feeling fine. Eventually, after about eight weeks, I had a loss of appetite and weight loss. I was getting sharp pains in my back at night. I went to the same doctor about four times complaining of the cough that wouldn't go away. I was given antibiotics each time and sent away. I didn't mention the night sweats or weight loss to the doctor at the time as didn't think they were related. Eventually, I felt out of breath and dizzy. After a few days off work just feeling sick and weak, I took myself to a hospital and asked them to do some tests. They took an X-ray and found my left lung full of fluid. I had a lung tap that same day to remove the fluid. I immediately felt better after the tap. I was diagnosed with TB and then put on a course of drugs for six months. I'm now fully recovered. My TB was a rare case, as I'm young and healthy, but I do live in Hong Kong where TB is common. At the time of contracting it, I was run down and going through some emotional issues, which I guess affected my immune system.

Published: July 23

My TB was diagnosed when I undergone pre-employment medical procedures. I never felt any symptom that's why I was shocked when the HR people asked me to take an APICO XRAY because of a suspicious opacity remark on my certificate. I found out after, that I was positive with TB.


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Tuberculosis - Treatments Question: What treatment was effective for your tuberculosis?

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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Tuberculosis

What is pleurisy?

Pleurisy describes the chest pain syndrome characterized by a sharp chest pain that worsens with breathing.

Pleurisy is caused by inflammation of the linings around the lungs (the pleura), a condition also known as pleuritis. There are two layers of pleura: one covering the lung (termed the visceral pleura) and the other covering the inner wall of the chest (the parietal pleura). These two layers are lubricated by pleural fluid.

Pleurisy is frequently associated with the accumulation of extra fluid in the space between the two layers of pleura. This fluid is referred to as a pleural effusion.

The pain fibers of the lung are located in the pleura. When this tissue becomes inflamed, it results in a sharp pain in the chest that is worse with breathing. Other symptoms of pleurisy can include cough, chest tenderness, and shortness of breath.

What causes pleurisy?

Pleurisy can be ...

Read the Pleurisy (Pleuritis) article »




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