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Does a pneumonic patch in the lungs mean tuberculosis?

Q: My 11 years old son was diagnosed with a pneumonic patch in the lungs. This was diagnosed after 6 days of high fever (104 degree Fahrenheit). The doctor prescribed Cefurexin (500 mg) twice a day for 10 days. After 5 days of antibiotics, his fever is gone but he is still coughing a lot. The antibiotic side effects have upset his stomach and he has become very weak. I have read that if this is not treated well it may develop into a permanent patch in the lungs and also TB. Is it true? We have given him BCG vaccination in childhood.

A:A patch in the lung on a chest X-ray usually means infection. A blood culture along with culture and examination of sputum can give the diagnosis. Cough after the infection is common and it may be an attempt by the lung to clear the secretions or it may be due to inflammation.

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