Question of the Week

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Question :

Posted On : 16 Nov 2025

If a 1 and 1/2 yrs old having a weight of 10 kg, cough for 15 days, fever for 15 days, Montoux negative, but CXR showing hilar prominence. Can we rule out TB just by neg Montoux as he is having good weight?

Expert Answer :

Answer Discussion :

M

Mobarak Mohammed

0

not to be rould out , mantuox test may be false negative

1 Day ago

S

Surekha Prajapati

0

No, need detalied history re risk factors and exposure to TB. IGRA, gastric aspirate fpr geneexpert and AFB stain and culture

2 Days ago

S

Shemeli Mbuga

0

yes,by gene expert

2 Days ago

T

Thomas Munene

0

sputum for genexpert

3 Days ago

M

Mobarak Mohammed

0

not to be rule out

3 Days ago

Answer 1

Diagnosis of TB in a child less than 5 years is not simple. We have to get family history, H/O of present illness and X-ray and MT. This child, having good health and MT negative, is very less likely to have TB. If you want to rule out 100 percent, then CT thorax can help.

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