hai Doctor,my friend had extra pulmonary TB and biopsy of neck lymph node suggested afb bacilli and she was on DOTS treatment for 6 months. After course again biopsy of lymph node done suggesting tubercular lymphadenitis but she does not have any symptoms and biopsy morphology suggesting granulamata giant cells.IS it nessassary to restart DOTS TREATMENT IF YES WHICH CATOGARY?
Hello, Welcome to Chat Doctor, As your friend is having TB lymadenitis for which he has taken treatment for 6 months under RNTCP Dots treatment. Even after 6 months the TB bacilli continue to survive in the lymph node. These patients will be re categorized into Cat II. Cat II or treatment for previously treated cases, for these patients they have to take treatment with Dots regimen, intensive phase for 3 months in which 5 Chat Doctor.