Is there any need of INH in case of borderline TB igm?
Patient: hi.. m a doc with tb lymph on treatment.. my spouse is keeping unwell for quite some time..to b precise he complains of chills at night... got all possible prelims done..the pulmonologist suggested.. cbc,esr,crp,widal,malarial smear,urine routine,lft... all normal.. but the mountoux came in strongly positive an induration of 15mm..he isnt having any cough,phlegm, etc..chest x rays look perfectly right too.. lymph nodes normal..so the microbiologist suggested a tb igm.. which gav a borderline 0.8 result(normal is 0.0 -0.8).....hes maintaining a temperature chart.. temps in normal range sinc a week...wondering whether to unnesseraily put him on INH?.....MEANTIME I AM NEARING THE END OF MY INH TREATMENT.. AND AM KEEPING PRETTY WELL.. Doctor: Hi,Welcome to HCM,TB Igm borderline reactivity with MT positive strongly in countries where TB is endemic than no treatment is required but in countries where incidence of TB is low wld require inh treatment.