You notice a small swelling on your neck—initially, you might brush it off as nothing serious. However, over time, it grows larger and perhaps becomes slightly painful. The swelling feels matted under the skin, and even after taking antibiotics, it doesn’t go away. When you finally get a Fine Needle Aspiration Cytology (FNAC) test, the report mentions “granulomatous inflammation, suggestive of Tuberculosis.” At this point, you might wonder, “What should I do next?”
Many people mistakenly believe that tuberculosis (TB) only affects the lungs. However, TB can impact various parts of the body, including the lymph nodes—a condition known as Lymph Node Tuberculosis or Tuberculous Lymphadenitis. This is where expert care becomes crucial, and that’s where Dr. Parthiv Shah steps in. With 11 years of experience, thousands of cases treated, and a role as a trainer of doctors under the Municipal Corporation of Greater Mumbai (MCGM), Dr. Shah is a renowned specialist in TB management.
Causes of Lymph Node Tuberculosis
Lymph Node TB is caused by the Mycobacterium tuberculosis bacteria, the same bacteria responsible for pulmonary TB. It spreads primarily through the inhalation of infected droplets. Once the bacteria enter the body, they may lodge in the lymph nodes and remain dormant for years. Factors like diabetes, HIV, malnutrition, or any condition that weakens the immune system can trigger the reactivation of these dormant bacteria, leading to the swelling of lymph nodes.
In India, TB is a significant public health concern, with lymph node TB accounting for approximately 25% of all extrapulmonary TB cases. While anyone can develop lymph node TB, it is more commonly observed in women and younger individuals, typically between the ages of 20 and 40.
Symptoms of Lymph Node TB
The symptoms of lymph node TB vary depending on the affected site. If the neck lymph nodes are involved, you may notice:
– A persistent swelling in the neck
– Pain or tenderness around the swollen area
– Fever, night sweats, and unexplained weight loss in 20% to 50% of cases
– In some cases, pus formation within the lymph nodes, which may rupture and release the pus
Lymph node TB is not typically infectious, meaning it doesn’t spread from person to person. However, if a patient also has active pulmonary TB, they can transmit the disease through coughing.
Diagnosis and Treatment of Lymph Node TB
If you suspect lymph node TB, it’s critical to seek consultation with a specialist like Dr. Parthiv Shah. He will guide you through necessary tests, including FNAC, Genexpert, and TB culture, to confirm the diagnosis and determine the best course of treatment.
The treatment for lymph node TB typically involves a prolonged course of anti-tubercular drugs, often lasting six to nine months. Adherence to the full course of medication is essential to prevent relapse, and drug resistance, and ensure complete recovery.
Dr. Shah emphasizes the importance of regular follow-ups and monitoring during treatment to manage any side effects that may arise. Common side effects include:
– Hepatitis, nausea, and vomiting due to Isoniazid, Rifampicin, and Pyrazinamide
– Visual disturbances caused by Ethambutol
– Joint pains due to increased uric acid levels from Pyrazinamide
– Ototoxicity, dizziness, and vertigo from Streptomycin
While these side effects may sound alarming, not all patients experience them, and Dr. Shah will provide guidance on managing any that do occur.
Emotional Support and Stigma Management
Lymph node TB, like all forms of tuberculosis, carries a stigma that can affect patients emotionally and socially. It is crucial to understand that TB is treatable, and with proper care, patients can fully recover. In Mumbai, free medications are available through government hospitals, making treatment accessible to all.
Support from family, friends, and healthcare providers plays a significant role in overcoming the emotional challenges associated with TB. Dr. Shah advocates for a compassionate approach to care, ensuring that his patients feel supported throughout their treatment journey.
The Importance of Expert Care
Given the complexities of TB, including potential relapses and the need for tailored treatment plans, it is vital to seek care from a specialist with extensive experience in managing the disease. Dr. Parthiv Shah’s expertise and dedication to TB care make him one of the best doctors for treating lymph node TB in Mumbai.
If you or someone you know is experiencing symptoms of lymph node TB, don’t wait. Early diagnosis and treatment are key to a full recovery. Consult Dr. Parthiv Shah today and take the first step towards better health.