He hasn't had had any additional testing. I just got these lab results this week and was surprised about the TB one. He takes 2 Apriso a day but that just started this week. He was on 1 per day.I'm going to tag my little penguin, since she probably knows more.
Has your kiddo had a PPD? And a chest x-ray? That would probably be the next step.
What meds is your child on?
Looks like they will have do another Quantiferon test too.What kind of results do you get with the QuantiFERON®-TB Gold test?
Most times, the QuantiFERON®-TB Gold test gives a positive or negative result. The positive result means you are infected with TB, and the negative result usually means you are not infected with TB. Sometimes, the result will not be either positive or negative. In this case, the result is called “indeterminate.” An indeterminate result may mean that something went wrong with part of the blood testing process or it may mean that your white blood cells are not working well due to a weakened immune system. If your result comes out as indeterminate, the test should be repeated, and if the second result is also indeterminate, you will need to talk to your doctor about what to do next.
I'll be sure to ask him if I don't hear from him this week. He's usually good about emailing after test results come down. His doctor hasn't mentioned a biologic yet...this was part of his initial diagnosis blood work that his doctor wanted to run. I hope it's a test error or something.I think the Quantiferon test can be unreliable, which is why PPDs are often used instead or with it. I would guess if his PPD is ok and chest x-ray is fine, he probably won't need treatment.
My girls had the opposite problem after receiving the BCG vaccination (for TB) when we were abroad - their PPDs will always be positive, so we HAVE to use the blood test.
We consulted to infectious disease doctors, who did chest x-rays and the blood test and determined it was a false positive. Both girls were allowed to start biologics and have been on them for years without problems (and have negative blood tests and chest x-rays in that time).
So I would not panic yet, just talk to your GI.
Are they preparing to put him on a biologic? If so it might be worth consulting infectious diseases.