Home » Frequently asked Questions on Health » Why has my daughter developed TB again?

Why has my daughter developed TB again?

Q: My 23 years old daughter suffered from tuberculosis in 2006 – she got a cold abscess. A year after the abscess surgery, she has again developed a cold abscess between her shoulder and neck. She was operated upon again and once again was diagnosed with TB. Although the treatment has been started, AFB test result is awaited. Why has TB recurred?

A:Cold abscesses occur due to infection by Mycobacterium tuberculosis. They are called "cold" because in comparison to the other common abscesses due to pyogenic bacteria such as Staphylococcus or Streptococcus they generally do not exhibit the cardinal signs of inflammation such as raised temperature at the infection site, pain, redness. Reappearance of the disease at the same site might be due to surgical causes or microbiological causes. Among the microbiological causes it could be due to a) disease recurrence, b) reinfection with same or related organism, c) infection by a different organism. One of the important microbiological causes of recurrence of the cold abscess could be drug resistant TB. It would be important to know the drug sensitivity of this organism. This could be done either by culture or by PCR based methods.

Among surgical causes: recurrence of cold abscess after surgery may occur following aspiration of the abscess, or resection. In some cases it has been seen that the recurrence rates are higher in case of aspiration of the abscess, and in cases of incomplete resection or surgery. However, each case is different and unique so the surgeon is in the best position to decide if complete resection is possible or indicated.

Appropriate management of cold abscess cases would include good microbiological diagnostic facility (based on microscopy, culture, drug sensitivity testing, or PCR), medical treatment (this involves taking the right anti-tuberculous medications at the correct dose and duration) and surgical management.

Finally reappearance of a disease at the same location does not necessarily mean recurrence. Other infective or non-infective conditions need to be excluded.

RELATED FAQ

................... Advertisement ...................

   

FAQ

ASK OUR EXPERTS

Using 0 of 1024 Possible characters
Choose Topic

Latest stories

Swine Flu Kills 11 In Nagpur, 4 In Indore: Tips To Prevent Swine Flu

Fri, 22 Sep 2017 17:00:13 IST
As many as 11 people died of swine flu in the Nagpur division in the past two days, taking the death toll 73 for the year, whereas four deaths were reported in Indore in a matter of past 24 hours.

Breathing Dirty Air May Lead To Kidney Failure: Study

Fri, 22 Sep 2017 16:00:58 IST
Air pollution may increase the risk of chronic kidney disease, which can lead to the failure of the organ, a study has warned.

Sexual Touch At An Early Age May Lead To Early Puberty

Fri, 22 Sep 2017 15:00:02 IST
German researchers found that women who were touched on their genitals at a young age experience changes in their brain and that touch triggers puberty.

Moderate Physical Activity For A Healthy Heart, Longer Life

Fri, 22 Sep 2017 14:00:23 IST
A recent study concludes that 1 in every 12 global deaths could be prevented, if all of us adhered to at-least 30 minutes of exercise each day, or 2.5 hours in week. Read on to know moderate exercising could help prevent heart disease and help you live longer.

11 Infants Being Treated For The E-Coli Infection At PGIMER

Fri, 22 Sep 2017 13:00:42 IST
The PGIMER (Post Graduate Institute of Medical Education and Research) battles against the outbreak of E-Coli infection in its Neonatal ICU. 1 infants are getting treatment for this infection at the moment, hospital sources reveal.