U.S. doctors online nowAsk doctors free
Houma, LA
A 18-year-old male asked:

Normal chest x-ray & abdominal/pelivic ct scan, but positive tb skin test? i have low grade fevers, extreme fatigue & swollen lymph nodes. tb?

4 doctor answers7 doctors weighed in
Dr. Stephen Siegel
Pulmonology 38 years experience
Treatment and tests: A positive TB test means there has been exposure to TB and infection. A ct scan of chest, sputum cultures for acid fast bacilli, culture/biopsy of lymph nodes. In any case, treatment for a positive TB skin test is needed with antibiotics and when there is evidence of systemic infection such as in lymph nodes/lungs http://www.Cdc.Gov/tb/publications/guidelines/.
Dr. Sewa Legha
Medical Oncology 50 years experience
It seems like it: You should seek a consultation with a infection(id) specialist to help you decide about treating your TB infection.
Dr. Amrita Dosanjh
Pediatric Pulmonology 36 years experience
Add test: I would also add a screening CBC, differential and platelets and diagnostic cultures. If there is a swollen lymph node or nodes, your physician may recommend a biopsy as well. If you do have a positive TB skin test, treatment and follow up is advised.
Dr. John Chiu
Allergy and Immunology 57 years experience
Unlikely TB: It is unusual to have TB with a normal chest x-ray. You need to see your doctor get a work-up ASAP.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Jan 30, 2018

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.