Scared and need advice

Discussion in 'Medical Students - MD' started by jesse14, Jun 5, 2008.

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  1. jesse14

    jesse14 Senior Member
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    here is my situation:
    After taking my 2 step TB test that was needed for my PT masters program, i was just told that i'm POSITIVE for TB. I have zero problems (no coughing or anything). I'm as healthy as they come. My Dr even was puzzled how a 22 year old Canadain gets Latent TB. I have a chest X-ray tomorrow, which i HOPE is negative. If the CXR is neg, i will be reffered to a respirologoist as per my GPs wishes. My GP told me that chances are he won't even put me on the antibiotics... i'm not sure why he said that b/c there is still a 1/10 chance my TB can become active... that's larger than i'm comfortable with.

    Please any thoughts or help would be great. I'm very worried and really have no idea what i'm going to do.
     
  2. mjl1717

    mjl1717 Senior Member
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    Protocol in U.S.--+PPD, negative CXR= offering of INH/B6 for 9 months! {end of story}
     
    #2 mjl1717, Jun 5, 2008
    Last edited: Jun 5, 2008
  3. endocardium

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    If your CXR turns out to be negative (let's hope), then you will be diagnosed with LTBI, which is nothing to be overly concerned about if you are a healthy individual and have a healthy immune system. It happens. Who knows how you contracted it? It doesn't matter.

    You should, however, at your age, be treated for LTBI, with the appropriate prophylaxis. Even though your TB is currently inactive, there is a chance it could become active at some point, if you don't get prophylaxis. I think the gold standard treatment is 9 months of 300 mg INH, once daily, sometimes supplemented with B6, to address the possible peripheral neuropathy in some individuals. Furthermore, most academic programs, particularly healthcare-related, require that you treat it. I don't know how it works in Canada, but that's how we basically approach it in the States.

    Don't sweat it. Take your docs recommendation; if it doesn't agree with you, get a second opinion, or seek an ID specialist. SDN is not the place to seek medical advice.
     
  4. elderjack21

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    What part of Canada do you live in? If you say Toronto...you need only look at the huge immigrant population to find your source of TB exposure.

    I was 22 when I had LTBI...it isn't a big deal, more than a billion people around the world have LTBI. Take your INH for 9 months...get a follow up Xray in a year or two and you are done. You will likely be forced to get Xrays from time to time, although it has been shown that this is not needed...if you ever start getting symptomatic...(which is highly unlikely as long as you are young healthy...do not have aids...etc)...they will put you on other meds.

    PS 1/10 become active if they don't do the INH series.
     
  5. aphistis

    Moderator Emeritus 10+ Year Member

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    Please do not solicit medical advice on the forums. Closing.
     
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