Posted On :
03 Apr 2006
A woman is hiv plus ve. She has delivered 4 days back. Postpartum her tuberculin test is positive. Hence further screened for kochs. On USG she is having abdominal lymphadenopathy with splenic microabscesses. Physician says that it is a case of abdominal kochs. Sputum is negative. CHEST X-RAY IS NOT SUGGESTIVE OF pulmonary kochs. Physician says that though it is not a open case, it can be disseminated kochs and sputum report can be false negative. Should we start prophylactic antitubercular therapy to the baby considering it as a case of contact. Mother is going to breast feed the baby. We have similar case i.e. similar finding but whose afb culture came positive 3 weeks later.
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