Letter Positive Test With Negative Chest X-ray
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FAQ
A person has latent TB infection if they have a positive TB skin test and a normal (negative) chest x-ray. This means the person has breathed in the TB germs, but his or her body has been able to fight the germs.
Positive PPD Skin Test If there are no symptoms of TB and no evidence of active tuberculosis infection on the physical examination and chest radiograph, the patient most likely has latent TB (LTBI), and treatment should be initiated.
The questionnaire inquires as to presence of cough, weight loss, fatigue, and other symptoms suggestive of TB. While not required by OSHA, some institutions mandate a chest x-ray every two to three years in the PPD-positive employee.
A posterior-anterior chest radiograph is used to detect chest abnormalities. Lesions may appear anywhere in the lungs and may differ in size, shape, density, and cavitation. These abnormalities may suggest TB, but cannot be used to definitively diagnose TB.
A person with a positive skin test and normal (negative) chest X-ray has TB infection. This means that the person's immune system has been able to fight the TB bacteria to prevent them from growing. TB infection is NOT contagious.
