Concluded Case

Tuberclosis?

A24 yr old female high grade fever before one year after lab investigation & radiology report &montaux test positive his family doctor give him isoniazid300 & Ethambutol 800mg for 6 month After 6 month patient have no fever but 15 days later again same high grade fever contd. patient is at present 64KG. & her investigation are below:- Montoux negative TLC 5400 ESR 47 MP /Widal negative What is the further management ??

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We are fighting with increased resistance of mycobacterium to tuberculosis treatment. Unscientific antituberculosis regimen containing only isoniazid and Ethambutol needs to be condemned. Nobody should ever resort to such regimen. Standard antituberculosis drugs treatment, prescribed by Government of India, Revised national tuberculosis control program, can be easily accessed from Google. We must follow standard regimen for treatment of tuberculosis. It is Vitally important for patients, doctors, nation and not entire mankind. Tuberculosis diagnosis needs to be confirmed before starting antituberculosis treatment. In this case we can do X Ray chest, HRCT chest, complete blood count, liver and renal function test, urine routine and microscopy to find cause of fever

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We are fighting with increased resistance of mycobacterium to tuberculosis treatment. Unscientific antituberculosis regimen containing only isoniazid and Ethambutol needs to be condemned. Nobody should ever resort to such regimen. Standard antituberculosis drugs treatment, prescribed by Government of India, Revised national tuberculosis control program, can be easily accessed from Google. We must follow standard regimen for treatment of tuberculosis. It is Vitally important for patients, doctors, nation and not entire mankind. Tuberculosis diagnosis needs to be confirmed before starting antituberculosis treatment. In this case we can do X Ray chest, HRCT chest, complete blood count, liver and renal function test, urine routine and microscopy to find cause of fever

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Once pt is diagnosed tubercular standard line of treatment is under govt directives to report to nodal officer 4d regime for 2months followed by2 or 3 drugs for rest of 4months The way treated will have relapses and may progress to MDR Hence adv for tb gold test or cbnaat But start 4d ATT therapy

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Adv CXR PA view to look for any reactivation,if possible send sputum for AFB CBNAAT,as it may be a case of MDR TB,review with reports

4 drug ATT should be started with consultation of District tuberculosis Officer

Tuberculosis

Put him in pressure cooker and sterilize him. Ha ha haaaa

She cantinue.same treatment for 3 monaths

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