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I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.
Hello. Are you able to chat now?
Perhaps you are away from your computer so let me offer my advice and then I'll watch for your return to chat if you have questions.
First, I doubt TB also since her TB test was negative (not 100% accurate), but the gastric washings and blood tests are diagnostic and if negative then she does not have TB regardless of the X-ray. Chronic cough in children is often due to either infection (bronchitis, sinusitis) or some inflammatory process in the lung including asthma and bronchiolitis. TB does not generally present with cough in infants and they are usually without symptoms until they develop chronic fever.
The diagnosis of bronchitis is generally made solely based on the history and hers is certainly compatible, though an underlying lung problem such as cystic fibrosis, allergy, asthma, parasites, etc are also possible. I would first simply treat her with an appropriate antibiotic for bronchitis, such as cefdenir or augmentin, for 2 weeks.
A diagnosis based on an xray alone without laboratory confirmation is rare and again, coughing would not be the presenting symptom.
I'll watch for your return to chat with any questions you might.
Im so relieved and just confirmed my suspicions.
I'm going to begin with the treatment immediately.
One question though.
If we stop the TB treatment is there any side affects
No problem stopping the TB therapy (I assume she is on rifampin and isoniazid, or equivalents) and these drugs are safe to stop.
yes she is on the abovementioned tratement.
Thank you for your response, and professional opinion
It sounds like they committed her to a 6-12 month course of TB drugs even in the face of negative laboratory confirmation! Even if I'm wrong, discontinuing it to see how she responds to antibiotics would be safe as children do NOT spread TB as adults do.
You are quite welcome.
The fact that they could treat my child with no proper data is very discomforting, and this was at a hospital It raises doubt about there expertise and professionalism.
Im going to stay in contact with you regading this, so we can enjoy my childs recovery together
Thank you for your quick response and Professionalism.
Your expertise should be more available to others. May I suggest LinkedIn. Without a doubt, you would be able to help many others with your expertise.
Once again, thank you Doctor, and I will correspond on her progress daily.
Enjoy your evening.
You as well.
I glad you found my advice helpful and trust that you will at some point return to chat to rate my answer favorably. Thanks and my best to you and your family.
Hi Dr Clark,
Im happy to report that the medication has been changed and the child is doing well.
I need to mention though that, I did the enquiry on behalf of my housekeeper.
unfortunately for her, she relies on Govemental hospitals for help as she cannot afford private Healthcare.
I saw the child and was not happy with what I saw and decided to help her.
the Doctors at the hospital are now up in arms due to our confrontation, and concerned we might hand them over to the authorities.
I see this as very serious that a 7 month old child can be mis treated talkie this.
Shocking, but that's our state hospitals for you.
Without my intervention, my housekeeper would have continued with her struggle.