Primary Complex: Symptoms, Diagnosis, and Treatment
Symptoms of Primary Complex
- Poor weight gain, (ie weight was playing around 17.5 lbs for 3 consecutive months.)
- Low food appetite
- Enlargement/bulky lymph node on the neck area
How To Diagnose a Primary Complex
Our baby Yesha has been in medication for almost two months now. Prior to that, we were really worried about her poor weight gain and low appetite and totally clueless what’s causing it.
So during our monthly check up, Yesha’s pedia prescribed Heraclene to catch up on her weight gain. Pedia told us that if her weight did not improve after one month it could be due to her weak lungs. Of course I couldn’t believe and accept it, how could an energetic, unsickly and active baby have weak lungs!
As a mom, the possibility of lung problem has made me feel down. But luckily, as I was browsing on a public forum, I stumbled upon a post of one mom who had the same situation as mine. And that’s then I learned about this.
So I read a lot about Primary Complex by searching through the net about it. And having done this prepared me on Yesha’s future diagnosis.
PPD Skin Test
After a month of religously giving Yesha Heraclene, her weight did not improve and remained the same. So pedia did a PPD skin test on her and made us return after 2 days for the reading.
After 48 hours, the reading was negative, and so pedia requested for chest x-ray. But the radiologist suggested to consider Pneumonia. So our doctor read the x-ray, but being the experienced pedia that she is and since Yesha has no bouts of cough, she diagnosed Primary Complex instead.
Below are the photos of Yesha’s x-rays. You can easily notice the cloudiness in her lung’s xrays.
Chest X-Ray posteroanterior (PA) view
Chest Xray Lateral View
How to Cure Pimary Complex with Kidz Kit 3
Our pedia prescribed Kidz Kit 3 which costs Php475 per box.
Php 80 - Curazid (Isoniazid)
Php 350 - Natricin (Rifampicin)
Php 112 - Zcure (Pyrazinamide)
Each pack of Kidz Kit 3 contains:
2 – 120mL bottles of Zcure (Pyrazinamide) 250mg per 5mL suspension
1 – 120mL bottle of Natricin (Rifampicin) Forte 200mg per 5mL suspension
1 – 120mL bottle of Curazid (Isoniazid) Forte 200mg/10 mg per 5mL syrup
Each 5mL of Zcure suspension contains 250mg pyrazinamide
Each 5mL of Natricin Forte suspension contains 200mg rifampicin
Each 5mL of Curazid forte syrup contains 200mg isoniazid and 10mg pyridoxine hydrochloride (Vitamin B6)
How to Apply Kidz Kit 3
The medication will last for 6 months. Quite a long time? The medication, yes, but you need not wait for 6 months to see the results. For one and half months, from 17.5 lbs, my baby’s weight now is 19.4 lbs.
Yesha’s appetite for food has also returned to normal. For Yesha’s age, 2.5mL of Kidz Kit is required which should be given religiously and without skippings. So our daily schedule is like this:
6.30am : Rifampicin (yesha’s wake up time and has an empty stomach)
7.00am : Isoniazid (30 min after Rifampicin)
7.30am : Breakfast time (30 min after Isoniazid )
after bfast : Pyrazinamide (Anytime during the day)
*Since Rifampicin and Pyrazinamide are both suspensions, they must be shaken well before giving to your child. Rifampicin and Izoniazid must be taken for the whole six months of medication while Pyrazinamide is only for the first two months.
photo by Gary Roebuck
We also learned that using a syringe (without needle) instead of medicine dropper is easier, cleaner and faster, so that’s what we have been doing for the past months. After almost two months, Yesha is slowly gaining weight and getting plumper.
We are really happy that the cause of her three months poor weight gain has been identified and currently being medicated. Now eating and feeding times are enjoyable again for both of us.
UPDATE AFTER 6 MONTHS!!!
How to Know if your child is completely healed with Primary Complex
After 6 months of medicating Yesha, I was still worried as I can still feel the lymph nodes in her neck. But after the chest x-ray and our consultation with our Pedia, all the anxieties faded and were replaced with thankfulness and total relief.
The radiology report stated complete regression of the previously noted hilar lymphadenopathies suggestive of healed primary Koch’s Infection. Thank your Lord!
The surest way to confirm if your child is already healed is through repeat chest xray. So below are Yesha’s xrays after 6 months of medication.
Comparing with the previous xrays, the new results have clearer images. In the new lateral view x-ray, you will see the three distinctive forms which are the lymph nodes, whereas the previous lateral view shows a very cloudy formless image.
And about the lymph nodes, our pedia told us that it really won’t disappear quickly.
Chest Xray PosteriAnterio (PA) View
Chest Xray Lateral View
God bless and I’m hoping for your baby’s healing. Remember, as much as possible, don’t skip the daily medication coupled with prayers.