<s>[INST] Hellow doctor, Previously I had been suffering from abdominal Polysyrosis pelueal effusion (abdominal tuberculosis). So was having aka for four months n later akt3. Now gland appears inside left necek n test of fnac found positive. What should I do? Is it spreadable? Should I not marry?or sex? [/INST] HelloYour history of illness is very ambiguous. On the one side, you mentioned that you were a patient of pleural effusion (this means there was pulmonary tuberculosis) , while you also mentioned that you were a patient of abdominal tuberculosis. You took AKT 4 (rifampicin, ethambutol, pyrazinemide and isoniazid) for 4 months. Later on AKT 3 (rifampicin. Isonazide and ethambutol) . Still you developed tubercular lymphadenitis (lymph node tuberculosis 0, confirmed by biopsy and positive. In my opinion, you should consult CHEST & TUBERCULOSIS specialist and take this treatment according to WHO recommendation. This is communicable if bacilli are still present in lungs. Before marriage, please take a full anti-tubercular course (that too under strict medical supervision) . Once your doctor declare you as tuberculosis free then get sex or marriage. Hope this will be useful for you. One more thing if anti-tubercular treatment is taken in haphazard way, patient may develop resistance, that is not good, so be careful about treatment. Good luck. </s>