Action: Cancer patient treated for TB!
Submitted by Bobby Ramakant (bobby) about 8 months ago
The news online here is about a boy who had to take anti-TB medicines due to misdiagnosis, he was actually suffering from cancer. Luckily after two years of mistreatment, he was finally rightly diagnosed and treated - and is safe and recovering.
Members are welcome to share their experiences with TB getting misdiagnosed in their local contexts, and its impact on drug-resistance and public health at large Read source article...
Keywords: cancer drug resistance extensively drug-resistant illdiagnosis M/XDR-TB MDR-TB misdiagnosis multi-drug resistant TB treatment tuberculosis wrong XDR-TB
India
2 comments
Mail a friend
Edit
Mail a friend
You need to be logged in for this page.
Comments 
3116 bobby about 8 months ago
Comment from Dr Col V P Gopinathan, India
***************************
[Mods note: The news online at: http://StopTB.citizen-news.org is about a boy who had to take anti-TB medicines due to misdiagnosis, he was actually suffering from cancer. Luckily after two years of mistreatment, he was finally rightly diagnosed and treated - and is safe and recovering.
Members are welcome to share their experiences with TB getting misdiagnosed in their local contexts, and its impact on drug-resistance and public health at large. Thanks]
***************************
"SIMILAR MISDIAGNOSIS IS QUITE COMMON"
Dear Stop-TB members,
This eForum is doing a service in disseminating case report as similar misdiagnosis is quite common in undeveloped countries including India.
Kikuchi's disease is another entity presenting as lymphasdenitis for which antituberculosis therapy is advocated. Being a relatively benign disease these patients are misdiagnosed as TB!
All patients with lymphadenitis (other than regional septic lymphadenitis )should be subjected to biopsy and evaluated preferably by two pathologists. Mere matoux positivity and raised ESR are misinterpreted as TB.
Dr Col V P Gopinathan
Trichur, India
Email: vpgopinathan@gmail.com
Lymphoma, TB and Sarcoidosis have many clinical sign symptoms that are common to these 3 condition. Clinician seeing these cases has the responsibility to use some common sense when treating such cases. When you are not sure and the patient is not responding to 2 to 3 month's treatment with anti TB then it is best to seek opinion from a senior person who is more experienced then you.
Last week I saw another case of 18 years old boy with massively enlarged lymph nodes in the neck and mediastinum. His biopsy had shown granulomas and doctor rightly started him of anti Tb treatment. After 6 months of treatment there was no regression of the nodes size and patient lost 5 more kg of weight. He went another physician who added steroids. Once again there was no response and patient came to me for a 3rd opinion. I straightaway went to pathologist and asked him to review the previous lymph nodes biopsy as to me it was a straight forward case of a LYMPHOMA. After further test and using tumour makers we were able to get the diagnosis ob Hodgkins lymphoma. Now patient is receiving appropriate treatment and making good progress.
Javaid A. Khan, FRCP (Edin)
Professor of Medicine
Section Head of Pulmonary and Critical Care Medicine
Consultant Chest Physician
Department of Medicine
The Aga Khan University
Email: javaid.khan@aku.edu
Login to submit comments.
History for this post
You need to log in to see posts' history.
Vote history
Positive votes
