<s>[INST] From : Sunil Kumar KhareExecutive EngineerPublic Health Engineering Deptt.Govt. of M.P. Bhopal  House no.B-241, Sector "D"Minal Residency, J.K. Road Bhopal (M.P.) PIN 462023E-mail :  YYYY@YYYY Mob: 0000 Respected Sir,              My daughter Ms Mallika Khare is 18 year old, she is student of B.E. Ist year is living at the girls hostel of Samrat Ashok Technological Institute Vidisha (M.P.).              In the last week of January 11 we saw a knot in right side of her neck. From Feb 11 to April 11 we consulted 3-4 physicians, presently we are consulting a physician who is a retired professor of Gandhi Medical College Bhopal. The description of treatment is as under :-1. As prescribed by the doctor we went for the FNAC test which confirmed Tuberculous Lymphnoditis.Doctor has suggested her following treatment :R cinex EJ , Levoflox 750mg, Dom Dt & Syp Sioplex these medicines continued from 19.04.11 to 18.06.11 then doctor made a little change on 18.06.11 he prescribed R-cinex 450 mg, Levomac 750mg & syp Alprovit . The knot still persists and now the puss formation has occured, we had to get it drained through syringSir, since 4 months have already passed and there is no appreciable change in the situation so far. Would you please comment on the treatment, whether we are taking the correct treatment ? Or is there any better treatment for the disease diagnosed. Is the disease diagnosed is fully curable? I believe as a parent you will understand our worries and give your valuable guidance.With best regards!Yours faithfullySunil Kumar Khare [/INST] Hi. The pus should be sent for AFB culture and sensitivity. This is a tuberculous involvement of the lymph node, so the patient requires intensive and dedicated therapy for at least 6-9 months. If any pus discharge from the lump site starts, it will be very difficult to heal until the full treatment of the patient is done. The AFB culture and sensitivity report will tell whether the first line Chat Doctor.  </s>