My father (age 64) had a past history of tuberculosis in 2013. Successfully did complete medication of 9 month and no evidence of tb thereafter. On 15th�may 2020 he had cough with slight droplets of blood. Since then, till today 25th�2020, sputum with blood not observed, he is diabetic and currently taking antifungal itraconazole 200 twice a day. Sputum� - myco. Tuberculosis mobile not detected galactomannan serum mobile.04 aspergillus igg antibody mobile.64 fungus culture mobile negative aspergillus igm antibody mobile.6 ige ? total serum mobile blood hemoglobin ? 9.9 x-ray ? fibrotib calcification ct scan ? fibrocavity changes with fungal ball formation in the posterior segment of left upper lobe. � what should be our next approach.

Tuberculosis

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Dr. Amit Jauhariyrs exp

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Dear Lybrate user, fungal infection is a common problem in diabetics with past / active tuberculosis and asthma / copd. The reason for this is usually uncontrolled blood glucose levels. Since the diagnosis is clear and treatment for fungal has started, now get a1c test & renal function tests - and consult with an endocrinologist for further management of blood glucose. Wishing speedy recovery.

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