Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr., My daughter was diagnosed a primary complex when she was 7mnth old,she was treated for 6 mnths kidz3 kit med,then she is now 2&11mnths old now. Last july 7 we went from her pedia because of cough and running nose ,then she was given antibiotic,then we advised to do chest xray,we did July 7 even she doesnt take her antibiotic yet,the result was NON SPECIFIC PNEUMONITIS.PRIMARY KOCH S INFECTION IS NOT RULED OUT. Then her pedia referred us in Pulmonologist,then this pulmonologist gave her mountelukast 4g sachet for 1mnth.We travel for vacation in province Aug.then she was accidentally her head was bump because she was playing with her cousin then we do CT scan, because she do vomit and she have fever that time,it was a tonsilitis only,She was given antibiotic so the result of CT Scan was no acute intracranial hemorrhage or carvarial fracture.Poy sinususitis.Then we cameback in city after a week she has cough and running nose again,I wonder why it is not really cured by antibiotics?is possible that her primary koch s atill active even she was treated already before?The pulmo dr. wanted to do repeat chest xray(must not have cough&running nose)but i am afraid of radation lag that is why till now i did not do it. is it ok to do xray after a mnth she was did xray and CT SCAN?or do I need to wait a year after?Does she need repeat treatment from the top(koch s infection if her infection possible active again?Thank you.
[|AI|]  Hi...1. This is not related to her primary complex.2. No need to repeat X-rays or CT as this seems to be an allergy and not an infection or pneumonia. Allergy cannot be diagnosed on X-rays and CT. Unnecessary radiation with these tests.3. I don't think the primary treatment need sot be repeated. If I have the kids' pediatrician I rather work up for her allergy and start her on treatment for prevention of allergic manifestations. Regards -