Question 1

I'm really worried about my mom. She's a diabetic patient and recently had some pain and inflammation in her right underarm. We went to a breast center where they did a mammogram with contrast, and the report said something about necrotic right axillary lymphadenopathy, described as BIRADS 4, and suggested a biopsy. They also mentioned some masses in her right breast, probably benign, and suggested to follow up in 6 months. There was also a simple cyst in her left breast and retroareolar duct ectasia in the right one, but they said it's benign.

After that, she had a USG guided FNAC, and it came back with something called necrotising granulomatous lymphadenitis, which they said could mean TB. But we did all the TB tests like AFB smear, pus stain, X-ray, AFB stain, culture, and gene xpert, and everything was negative. They also did a biopsy by removing a lymph node, and it showed no malignancy. The doctor mentioned there were many lymph nodes, and a few had pus, so they checked for infections like HIV, HCV, and HBsAg, and those were negative too.

I'm trying to understand why she has multiple lymph nodes, some with pus, and if this is something serious. Should we be seeing a specific specialist or doing any additional tests? This is so worrying, and we're not sure what steps to take next.

Accepted Answer

consult rheumatologist  immunologist

Question 2

I'm currently on medication for lymph node tuberculosis, and it's been around 2 and a half months. Recently, I've noticed that the nodes in my abdomen have become enlarged, whereas before it was just the ones in my neck and groin. I'm a bit worried and was wondering how long I might have these enlarged nodes and when this treatment course will be done. Can you help explain what's going on?

Accepted Answer

Enlarged lymph nodes can persist throughout TB treatment, but they typically start to shrink within 3-6 months; the standard treatment course for lymph node TB is 6-9 months, but it may vary depending on your response to treatment, so consult your doctor to assess your progress and determine the best course of action.

Question 3

I'm trying to understand what it means when the widal test result says "non reactive." Could you explain this in detail? Also, I've been dealing with typhoid for about 4 months now and it just won't go away. Can you recommend any good doctors for treating typhoid? I'm really worried since it's been such a long time.

Accepted Answer

-A "non-reactive" result in a Widal test means that no significant antibodies against *Salmonella* (the bacteria causing typhoid fever) were detected in your blood. This usually indicates you don't currently have an active infection, but its not always

What is infectious agent?

Infectious agents are organisms that are capable of producing infection or infectious disease. They include bacteria, fungi, viruses, and parasites

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