Antibody to Tuberculosis IgM - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
Hi doctors Recently my son who is 4 years old did a test called " Antibody to Tuberculosis - IgM", and the result was Equivocal( 0.96 units ). I am worried whether he has TB , my family and in-laws family no one has detected TB , doctors please let me know whether this is curable I am bit worried and tensed, what precautions do I need to take , also I have a 6 months child , whether he also can get this disease . Also for my 4 yr child I did one more test today called as " MT " , I have to wait for 2 days to see the reaction and then I would come to know . What precautions do I need to take , I want to give my son the best and want to sure the same , please help doctors. Also did a CBC test (WBC count is more it is around 27,700 cell/Cu.m H). Doctors please advice and let me know how can I cure this disease" Tuberculosis".
Answer
Tuberculosis IgM in the blood in a country such as India is not very reliable. In India, every individual may be exposed to TB and this may show as an antibody response in form of IgM or IgG. However it is not necessary that every person exposed to TB develops the infection. It may depend on the child's immunity. One would have to wait for the results of the mantoux test(MT test). This is a test where small dose of inactivated TB baccillus is injected and is the child has TB, the injection site will develop a hypersensitivity reaction that will lead to a positive test. One needs to correlate clinically and with all the tests to see if the child has TB or not. Back to All Questions

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