Does ganglionar tuberculosis have a cure? How is the treatment?

Expert answer:

Yes, lymph node tuberculosis has healing. Treatment is usually done with regimens up to 4 medications antibiotics, taken orally: rifampicin, isoniazid, pyrazinamide and ethambutol.

Treatment of lymph node tuberculosis has a minimum duration of 6 months, and can be extended for up to 12 months, depending on the case.

Patients who have never received any treatment for tuberculous lymph node or other form of tuberculosis, or who have taken the drugs for less than 30 days, are treated with scheme 1, which includes 3 antibiotics:

⇒ 1st phase (2 months): Rifampicin + Isoniazid + Pyrazinamide.

⇒ 2nd phase (4 months): Rifampicin + Isoniazid.

If the evolution is not favorable, the second phase can be extended for another 3 months. If the treatment is done correctly, without abandonment, the chance of cure of tuberculosis with scheme 1 is 98%.

For patients who present with recurrence of lymph node tuberculosis after treatment with Scheme 1 or who have withdrawn from treatment previously, the Scheme 1R (reinforced) with 4 antibiotics:

⇒ 1st phase (2 months): Rifampicin + Isoniazid + Pyrazinamide + Etambutol.

⇒ 2nd phase (4 months): Rifampicin + Isoniazid + Etambutol.

When schemes 1 and 1R do not work, the scheme 3, which have a duration of 12 months and also includes 4 medications:

⇒ 1st stage (3 months): Streptomycin + Ethionamide + Etambutol + Pirazinamide.

⇒ 2nd phase (9 months): Ethionamide + Etambutol.

Streptomycin is the only drug given by injection or serum. All other antibiotics used to treat ganglionic tuberculosis are taken orally.

THE cure rate of scheme 3 varies between 55% and 65%. In addition to the drugs being less effective, the side effects and the need to have to take injections for 3 months (streptomycin) increase the rate of abandonment of this treatment.

Tuberculosis treatment is available free of charge by the Unified Health System (SUS).

Learn more at:

Is Tuberculosis Cure? What is the treatment?

Is lymph node tuberculosis contagious?

What is lymph node tuberculosis and what are the signs and symptoms?