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Tuberculosis diagnostic investigations and Tuberculin test
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<p>[QUOTE="kinghamada, post: 53702"]<a href="http://www.med4al.com/2025/07/manifestations-tuberculosis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/manifestations-tuberculosis.html" rel="nofollow">T.B</a><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> is mainly a bacteriological diagnosis by Ziehl-Neelsen stained smear or culture on Lowenstien Jensen Media or Middle brook).</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">The culture on middle brook needs short duration (2-3 wks) PCR is also a recent methode .</font></span><span style="color: #000000"><font face="Times New Roman"></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"><br /></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">1- </font></span></p><p><b><span style="color: #660000">Bacterial examination</span></b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> :</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">If -ve for 3times, this may indicates -ve T.B infection ?</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• Mycobacteria is recognized by their surface lipids which makes them acid fast in the laboratory examination.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• Isolation of organism from</font></span></p> <p style="text-align: center"><span style="color: #000000"><font face="Times New Roman">[ATTACH=full]126230[/ATTACH]</font></span></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">2-</font></span><span style="color: #660000"><font face="Times New Roman"><b>Radiological picture</b></font></span><span style="color: #000000"><font face="Times New Roman">: (usually gives apical lesion)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">* Cavity * Fibrosis * Consolidation</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">* Effusion * Collapse * Miliary shadow</font></span></p><p><b>3-Tuberculin skin test:</b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• It is used widely to screen certain high risk populations, particularly those who have been exposed to an infectious patients.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• The test involves an intradermal injection of the purified protein derivative (PPD) of the bacilli.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• After 48-72 hours the injection site is examined for visible and palpable induration.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• Because of a possible cross reaction after exposure to other mycobacteria a single tuberculin test to determine sensitization to mycobacterium tuberculosis is considered positive only if the diameter of the induration at the skin test site</font></span></p><p><b> measures</b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> :</font></span><span style="color: #000000"><font face="Times New Roman"></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"></font></span><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"><b><font size="4"><span style="color: Red">Read more at</span></font></b> :</font></span></p></p> <p style="text-align: left"><a href="http://www.med4al.com/2025/07/tuberculosis-investigation-test.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/tuberculosis-investigation-test.html" rel="nofollow"><font size="5"><u><b>Tuberculosis diagnostic investigations and Tuberculin test</b></u></font></a></p> <p style="text-align: left"><br /></p><p>[/QUOTE]</p><p><br /></p>
[QUOTE="kinghamada, post: 53702"][URL="http://www.med4al.com/2025/07/manifestations-tuberculosis.html"]T.B[/URL][LEFT][COLOR=#000000][FONT=Times New Roman] is mainly a bacteriological diagnosis by Ziehl-Neelsen stained smear or culture on Lowenstien Jensen Media or Middle brook).[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]The culture on middle brook needs short duration (2-3 wks) PCR is also a recent methode .[/FONT][/COLOR][COLOR=#000000][FONT=Times New Roman] [/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]1- [/FONT][/COLOR][/LEFT] [B][COLOR=#660000]Bacterial examination[/COLOR][/B][LEFT][COLOR=#000000][FONT=Times New Roman] :[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]If -ve for 3times, this may indicates -ve T.B infection ?[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]• Mycobacteria is recognized by their surface lipids which makes them acid fast in the laboratory examination.[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]• Isolation of organism from[/FONT][/COLOR][/LEFT] [CENTER][COLOR=#000000][FONT=Times New Roman][ATTACH=full]126230[/ATTACH][/FONT][/COLOR][/CENTER] [LEFT][COLOR=#000000][FONT=Times New Roman]2-[/FONT][/COLOR][COLOR=#660000][FONT=Times New Roman][B]Radiological picture[/B][/FONT][/COLOR][COLOR=#000000][FONT=Times New Roman]: (usually gives apical lesion)[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]* Cavity * Fibrosis * Consolidation[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]* Effusion * Collapse * Miliary shadow[/FONT][/COLOR][/LEFT] [B]3-Tuberculin skin test:[/B] [LEFT][COLOR=#000000][FONT=Times New Roman]• It is used widely to screen certain high risk populations, particularly those who have been exposed to an infectious patients.[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]• The test involves an intradermal injection of the purified protein derivative (PPD) of the bacilli.[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]• After 48-72 hours the injection site is examined for visible and palpable induration.[/FONT][/COLOR] [COLOR=#000000][FONT=Times New Roman]• Because of a possible cross reaction after exposure to other mycobacteria a single tuberculin test to determine sensitization to mycobacterium tuberculosis is considered positive only if the diameter of the induration at the skin test site[/FONT][/COLOR][/LEFT] [B] measures[/B][LEFT][COLOR=#000000][FONT=Times New Roman] :[/FONT][/COLOR][COLOR=#000000][FONT=Times New Roman] [/FONT][/COLOR][LEFT][COLOR=#000000][FONT=Times New Roman][B][SIZE=4][COLOR=Red]Read more at[/COLOR][/SIZE][/B] :[/FONT][/COLOR][/LEFT] [URL="http://www.med4al.com/2025/07/tuberculosis-investigation-test.html"][SIZE=5][U][B]Tuberculosis diagnostic investigations and Tuberculin test[/B][/U][/SIZE][/URL] [/LEFT][/QUOTE]
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