Saturday, September 29, 2007

Mantoux Test

Mantoux test is a test for tuberculosis. The test involves injecting a small amount of tuberculin (an extract of the causative bacteria) into the forearm skin, and the skin reaction measured 72 hours later.

This is the staff nurse who administered my tuberculin injection.

The nurse said the injection itself is quite painful, and claimed that she was quite nervous administrating Mantoux test for a "doctor".

It's an intradermal injection, meaning the stuff is injected right under the skin.

The injection site is left untouched for 3 days; no soap around the injection site during shower. The site is inspected and interpreted by an experienced medical personnel after 72 hours.

The skin reaction on my forearm, 72 hours after injected with the tuberculin.

Simply put, the induration (the reddish hardening) on the skin is measured to arrive to the diagnosis of tuberculosis. An induration of 10mm or more in people with no BCG scar indicates a positive reading for tuberculosis. In most people who are vaccinated against TB and hence, a BCG scar is present, a reading of 15mm or more is needed to indicate a TB infection.

8mm!

My skin induration measured 8mm (and yes, I do have a BCG scar)! That means I don't have TB! Fuhhh... On why I did this test, that's a story for another day!

8 spit-backs:

Anonymous said...

where got 8mm? i see it's almost 30mm leh! TB kia, are you going to infect your patients with TB?!?! i'm going to sue you for negligence! dieeeee...

Raymond said...

This guy must hv been exposed to some 'notti' stuffs or sleep in mycobacte lab recently hence Mantoux test!Hehe

rachel said...

dear......what are you doing ar... :p

K.K. said...

[zac]:
there's a reason why you're not addressed as "experienced medical personnel"! the reddish central induration is measured, instead of the whole peripheral erythematous reaction. geddit?! in short, it IS 8.0mm!

[ray]:
no leh, actually i had generalised lymphadenopathy (cervical, axillary, groin) for 3 weeks. FBC normal, ESR raised (19mm/hr), LDH normal, Mantoux test normal. what could be the diagnosis?

[rachel]:
im trying to protect the kids im seeing in the paeds ward lor... (suddenly feel so holy, dunno why!)

Raymond said...

Go do a HBsAG,ANA,HSV,toxoplas.Raised ESR not really a big concern,furthermore only 19!And suice u hv swollen inguinal nodes as well,consider pelvic maligancy or even lymphoma haha
u sleep around izzit,do HIV test also LOL

Anonymous said...

It sounds like viral viral which has been resolved cos it has been 3 weeks, so virus should be all dead but your body still responding....could it be HIV? Go for HIV test la All types of white blood cell are in right level, no leukemia, no other complaint....what is your white blood cell level now? Must be sleeping around with girls too much la....lol

K.K. said...

[ray]:
lemme gip u some hint la. i've been in paeds ward for 5wks now, and everyday i see bronchopneumonia and more bronchopneumonia. see, so easy clinch dx edy. i succumbed to kid's virus/bacteria!

[steve]:
u ar, why must u tell everyone i sleep around leh? u still angry at me last time i din intro u de chun girl is it? she stayed for one night oni la, dun jealous...

(see, i can be fictional too! LOL!)

Anonymous said...

Of course angry la...dun intro me and keep it for yourself....stayed 1 night is good enough already ok....dun try to cover up ok its the fact that she stayed over....haha

P:S This is not fictional.



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