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This is normal and it will soon disappear. After 2-3 days, you will be asked to see the nurse to have the area checked and the reaction measured. If there is no reaction after 2-3 days, you most probably have not been exposed to the TB germ. If there is a reaction, some redness and a small bump will appear on the arm.
You’ll then get a small shot that contains PPD under the top layer of your skin. You may feel a slight sting. A bump or small welt will form, which usually goes away in a few hours. After 48 to 72 hours, you must return to your doctor’s office.
Some people experience some redness, rash, slight bruising or a small bump at the site. DO not WORRY! These reactions are common and do not necessarily mean you have a positive test. On a rare occasion, some people are very sensitive to the solution and develop a severe skin reaction.
A positive test result means you may have been infected with TB at some point. It does not mean you have an active TB infection. The test may be seen as positive if the skin where you were injected is hard, raised, red, and swollen. But redness alone is not considered a positive test result.
Make sure you don’t put a bandage or lotion on the test spot. Also—don’t scratch the spot. If the area itches, put an ice cube or cold cloth on it. It is okay for the test spot to get wet, but do not wipe or scrub the area.
If you have a negative skin test, you need a repeat test at least once every four years. If you have a documented positive skin test, you must have an initial chest X-ray. After that, you still need to be screened every four years.
Skin – TB can cause certain rashes, including erythema nodosum – a red, lumpy rash on the legs – or lupus vulgaris which gives lumps or ulcers. Spread to many parts of the body – this is called miliary TB, and can affect many organs, including lungs, bones, liver, eyes and skin.
After the test Some redness at the skin test site is expected. The site may itch, but it is important that you do not scratch it, since this may cause redness or swelling that could make it hard to read the skin test.
- a bad cough that lasts 3 weeks or longer.
- pain in the chest.
- coughing up blood or sputum.
- weakness or fatigue.
- weight loss.
- no appetite.
- chills.
- fever.
- Do not scratch the test site. Scratching it may cause redness or swelling. This could affect the test results.
- To ease itching, put a cold face cloth on the site. Then pat the site dry.
- Do not cover the test site with a bandage or other dressing.
Some people have an allergic reaction to tuberculin. Seek care immediately if you have any symptoms of allergic reaction, such as hives or swelling.
A: You can take showers and baths as you normally do. Q: What do I do if my arm itches or blisters? A: Put an ice cube in a washcloth and place it on your arm. DO NOT SCRATCH!
If you have a positive reaction to the TB blood test or TB skin test, your doctor or nurse will do other tests to see if you have TB disease. These tests usually include a chest x-ray. They may also include a test of the sputum you cough up.
| Body Location | Symptoms |
|---|---|
| lungs | cough, increased sputum (phlegm), coughing blood |
| glands of the neck | lumps in the neck |
| bones | pain in the bones or back |
There is very little risk to having a TB skin test or blood test. For a TB skin test, you may feel a pinch when you get the injection. For a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.
Your health care provider MUST check your arm 2 or 3 days after the TB skin test, even if your arm looks OK to you. If you have a reaction to the test, it will look like a raised bump. Your health care provider will measure the size of the reaction. If there is a bump, it will go away in a few weeks.
If the Mantoux results are positive, then the doctor will ask for blood tests or X-ray of your chest. Also there could also be tests to check for infection through your sputum. Finally, urine or tissue samples can also be collected for testing if the doctor has diagnosed that the infection is spreading.
However, if latent TB bacteria become active in the body and multiply, the person will go from having latent TB infection to being sick with TB disease. For this reason, people with latent TB infection should be treated to prevent them from developing TB disease.
A course of antibiotic medicine will treat latent TB. You may be given Rifampicin and Isoniazid for three months (which may be together in a tablet called Rifinah) or Isoniazid by itself for six months.
The lungs are the most common site for the development of TB; 85% of patients with TB present with pulmonary complaints. Extrapulmonary TB can occur as part of a primary or late, generalized infection.
Even one minute before the 48 hours or after the 72 hours is an invalid test result. During this time, make sure to not scratch or scrub the area and do not apply lotions, oil, or band aides. This can irritate the area and result in a false positive. Taking a shower is okay, just be careful not to scrub over the area.
I am a T.B. patient, doctor has advised me to take food 6 time and 6 litres of water in a day.
- A reduction in symptoms, such as less coughing.
- Overall improvement in the way one feels.
- Weight gain.
- Increased appetite.
- Improvement in strength and stamina.