apollo
  • Female
  • 24 Years
  • 22/01/2025

I'm dealing with an abscess in my underarm and some mild back pain, and I just found out my Mantoux test came back positive with an ESR of 30. Could this mean I have spinal tuberculosis? And if it is, are the medications they give out at district health centers for spinal and lung tuberculosis the same? I'm pretty worried about what all this means.

Doctor 1

Answered by 1 Apollo Doctors

Surgeon opinion is advised to the patient.

Dr. Chandra Suggests...

Consult a Infectious Disease specialist

Answered 04/07/2025

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I recently got bitten by a street dog, which left a scratch without any bleeding. I quickly rinsed it with tap water for about 10 or 30 seconds and then got the intradermal antirabies vaccine around 45 minutes later. I'm a bit concerned about a few things. Could I still be at risk for rabies since I didn't wash the bite with soap for a full 15 minutes? Also, is there a chance my family could catch rabies just from washing dishes in the same spot where I cleaned my leg? I'm worried because I noticed the hospital might not have kept the vaccine cold the entire time I mean, they took it out in the morning and used it throughout the day, and I got my first dose around 4:30. For the second dose, they did get it right from storage, but the cool box was always open. Is there a possibility that this could affect how well the vaccine works and my chances of getting rabies?

For a scratch without bleeding from a street dog bite, washing the site with running tap water for 10-30 seconds is a good first aid measure. The risk of rabies transmission through such a scratch is very low. However, to be safe, you received the intradermal antirabies vaccine, which is the appropriate course of action to prevent rabies infection. Rabies is not transmitted through objects like utensils. The virus is primarily transmitted through the saliva of an infected animal, usually through a bite. Washing utensils where you washed the bitten site does not pose a risk of rabies transmission to your family members. The rabies vaccine is sensitive to temperature and must be stored properly to maintain its effectiveness. If the vaccine was not stored correctly, there is a risk that its potency may have been compromised. However, receiving the vaccine doses as you described (45 minutes after the bite and on the fourth day) is still beneficial in preventing rabies infection. It is important to complete the full course of the vaccine as prescribed by your healthcare provider to ensure protection against rabies.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

So, a rat bit me, and I'm just wondering what I should do about it. How soon should I get medical help? I'm also breastfeeding, so I really want to make sure everythings okay. Can you advise?

A rat bite can lead to infections and complications, especially for nursing mothers. It is important to seek medical attention promptly. First, wash the bite area with soap and water. Apply an antiseptic ointment and cover it with a clean bandage. You should visit a doctor as soon as possible. They may prescribe antibiotics such as Amoxicillin 500mg to prevent infection. Additionally, a tetanus vaccine may be recommended if you are not up to date. It is important to monitor the bite area for any signs of infection such as redness, swelling, warmth, or pus. If you notice any of these symptoms, seek medical attention immediately.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm currently on ATT treatment DOT and have had my lymph node aspirated twice. The culture and DSTMTB indicated sensitivity to all first and second-line drugs. However, the lymph node swells up again after the pus is taken out. Is this normal? I've attached a screenshot for reference. I'm taking my medication under DOT, and I have a history of TBM. For the past year and three months, I've been under treatment, and just last month, I noticed the TB lymph node. Could you provide some advice or insight into this?

no it is not normal. swelling of lymph node means there might be infection and recollection of pus

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.