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Are lymph nodes a symptom of primary complex?

Q: What are the symptoms of primary complex? My daughter has a noticeable lymph node, is it a sign of primary complex? She is 3 years old and is a fluent speaker. She is a bit advanced in terms of learning as compared to other children. She is very active and does not like milk. She is able to drink only 1 to 2 glasses everyday and is a very picky eater. She weighs only 11 kg. Is she malnourished?

A:Primary complex is condition where there is a lymph node enlargement in the chest which is seen on X-ray chest with some parenchymal (lung) involvement. Lymph nodes outside chest are not defined as primary complex. Ideal way to confirm the diagnosis of tuberculosis is to document ther tubercular germs either from lymph node or from sputum/secretions obtained from the lungs. Your baby is not malnourished and her diet is pretty OK.

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