Talk to Pulmonology on TB
Asking For Self, Male 23, Lahore
AOA. I was diagnosed with pulmonary TB (mild infection) based on HRCT chest & T.Spot Blood Test. I have completed my 6 month ATT on Dec 25, 2020. After that I did AFB smear Sputum Test from Shaukat Khanum Lab. It was negative. I repeated that test again on Jan 27, 2021. It came negative again. Now I want to do a blood test to confirm that there's no more TB Bacteria in my body. One doctor said, no need for blood test. Another said, do the IGRA (Quantiferon TB Gold plus test).
Now please let me know which blood test should I do? I'm having OCD due to TB. IGRA or T.Spot? (I need the most accurate test)
Dr. Rizwan Athar - Pulmonologist / Lung Specialist
| MBBS | FCPS | Gold Medalist (Rawalpindi Medical University) | | Islamabad
39 Positive Reviews
If you don’t have any symptoms, no need of any further testing.
Dr. Asma Ambreen - Chest Respiratory Specialist
MBBS, FCPS Pulmonology, FCPS Medicine | Rawalpindi
79 Positive Reviews
Microbiological tests are the most sensitive test to diagnose and to monitor disease. You dont need any other test if symptoms and chest xray has improved.
Patient
Post Owner
Chest Xray are fine.
I wanted to do Bronchial Washing instead of Sputum as my sample for the Test. Because one doctor told me that sometimes Sputum test doesn't give proper result. That caused me OCD.
Can't T-Spot or IGRA be used as a confirmatory test?
3 years ago
MBBS, FCPS Pulmonology, FCPS Medicine | Rawalpindi | Book Appointment
79 Positive Reviews
T-Spot and IGRAS will be positive in your case. This doesnt mean that you still ve the disease.
3 years ago
Patient
Post Owner
OK. Thank you.
One last question.
Will they be positive forever or for a few months so I could do one of those tests later?
3 years ago
Dr. Muhammad Imran Khan - Pulmonologist / Lung Specialist
MBBS , FCPS II (Pulmonologist) | Peshawar
20 Positive Reviews
if you have no symptoms and chest xray is normal also smear is negative then there is no need to do igra or any other investigation
Patient
Post Owner
Can't I do T-Spot or IGRA as a confirmatory test?
(No money issues. I can afford)
(I just need some confirmation)
3 years ago
there is no requirment of any test once u have completed treatment. if u want any then go for TB gold.
No test required if symptoms are settled and radiological improvement with completion of ATT course of 6 months.
Asst. Prof. Dr. Muhammad Atiq Ul Mannan - Pulmonologist / Lung Specialist
| MBBS | MCPS | FCPS ( Pulmonology) | MD (USA) | DTCD (Diploma in TB & Chest Diseases) | | Multan
340 Positive Reviews
dear patient no need for further testing and no blood test is recommended for tb. you need behavioural/psychology reassurance rather than testing. so spend your money on that rather than running behind any further test.
regards.
Dr. Abdul Wajid Khan - Pulmonologist / Lung Specialist
MBBS, FCPS (Pulmonology) | Sialkot
45 Positive Reviews
no need for any test
Asst. Prof. Dr. Syed Aman Ullah Shah - Pulmonologist / Lung Specialist
| MBBS | FCPS ( Pulmonology ) | Quetta
11 Positive Reviews
No test required
Elaaj Khtm.. Sehat Mubarak..
You was confirmed case of PTB and completed treatment and recovered. No need of any blood CBC and IGRA is not relative test.
Dr. Nihal Azhar - Pulmonologist / Lung Specialist
MBBS, Diploma (Tuberculosis and Chest Diseases (DTCD), Clinical Research Certified Professional (CRCP), Introduction to the Principles and Practice of Clinical Research (IPPCR) | Islamabad
23 Positive Reviews
there is no need for further testing.but if you are not satisfied you can do gene xpert test from any lab.it is a sputum test.
Dr. Ahmed Bilal - Chest Respiratory Specialist
| MBBS | MCPS (Pulmonology) | | Swabi
5 Positive Reviews
asalam o alakom your are declared cure,take good diet,no worries
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Patient
Post Owner
Symptoms are all gone. But I've developed OCD somehow. So can't IGRA or T-Spot be done to confirm no more TB bacteria? Are they not accurate?
(No money issues. I can afford them)
3 years ago