Pulmonary TB

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Suggested Clinical evaluation Rule out secondary infection Rule out diabetes.. and HIV..And other comorbidities. Cbc.. Please post genxpert report...it also comments about rifampin resistance. Please send cxr images. Go for tbc culture... with first and second line AT drugs...to look for MDR andXDR tbc

Tbc culture of sputum
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As per protocols pt needs to be on 4 drugs for 2months and 2 or 3 drugs next 4months In this case protocols are not followed Hence most like a c/o MDR and may be put on cat2

Thanx dr Kute Ankush
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I got it through WhatsApp, and thought to discuss with you all, Here patient has been put on H+R+E instead of H+R+Z+E, may be that's why her fever is not controlled even after 8 days of therapy in prescription Pyrazinamide being a major bacterocidal drug What are your thoughts??

ADVISABLE ALL. .ROUTINE EVALUATION RULE. OUT SECONDARY. INFECTION .. PNEUMONITIS WIDAL. TEST / MP CULTURE. / SENSITIVITY

NEED'S.. TO R/O.. TB.. DM.. HIV..

Tnx Dr Shivraj Agarwal sir
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Adv: GO AFB culture Mean while send sputum c/s for Pyogenic CRP and RTPCR for covid In present era Start TAb ceftum 500 bd Inj amikacin Tab azithral

Reports of genexpert To r/0 MD Tb Culture and sensitivity Put on akt4 R/0 other causes of fever

Some times it takes time , but ask for Widal MP URINE C/S

@sitopaladi churna,att

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