Problem description: I started coughing a few days ago. After two days of coughing, I started to have sputum. The CT scan showed that the right lung had two small nodules and hollows. I went to the tuberculosis hospital for sputum examination. Mycobacterium tuberculosis and acid-fast bacilli were not detected. Can I be diagnosed with tuberculosis in this case?
Question date:2020-09-18
Patient information:Age: 25 years old Gender: Male
Question analysis: Generally, in this case, the possibility of tuberculosis is highly suspected by imaging, but tuberculosis bacillus is not detected in sputum examination. As tuberculosis can be treated, multiple sputum examinations can be performed. Some excretion of bacteria is accidental and can also be screened. Check the tuberculin test to assist in further diagnosis.
Guide and suggestion: You can also treat with anti-inflammatory treatment first, and compare before and after treatment. If the imaging changes are not obvious and the symptom relief is not obvious, then consider the possibility of tuberculosis, and vice versa. Rule out the possibility of tuberculosis.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection