Pathophysiology of Mantoux
Test site t cell proliferation- release inflammatory markers- celks recruit- increased permeability - in duration
Procedure of Mantoux
1 to 5 tu tween 80 intradermal on anterior side of arm
48-72 hrs
Horizontal induration is measured
How do u interpret mantoux
5mm- negative 5-9 mm - intermediate Consider positive in ic condition Contacts Xray lesion positive. Esrd 10- closed groups- prisoners Lab micro Recent immigrants from high prevalence area Infants, child <4
> 15- significant, infection, irrespective of bcg
Uses of mantoux
Prevalence
Young children
False positive
False negative
Prior bcg , tech , dose. Contaminated
Miliary , measles, hodgkins. Sarcoid , mal nutrition , immunosupression
Recent infection