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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication To Treat TB

a patient was treated for tb five months ago butt her sputum tested positve and continued treatment for 13 mnts. when she was re-tested the doctor told her that she would receive treatment for two yrs. what kind of drugs would be given to her for a period of five mnts
Mon, 11 Aug 2014
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General & Family Physician,  's  Response
Hello
In the beginning sputum was POSITIVE and anti tubercular treatment started , retested after 5 months , still sputum was POSITIVE i.e. I would not say failure of treatment but ineffective treatment . Continued for another 13 month , no improvement , still doctor advise keep this treatment for two ( in all ).
I have seen so many cases like this with these symptoms and signs.
In my opinion this patient has developed MULTI DRUG RESISTANT TUBERCULOSIS .
Now get in X RAY chest ( for fresh lesions) , sputum for A F B , Blood for C B C ( leucocytosis may present) E S R ( very high > 100 mm) , Protein Purified Derivative test- Tuberculin Skin Test.
If possible get in Bronchoscopy .
Now upload all these reports or consult a CHEST & TUBERCULOSIS specialist and get his opinion.
Hope this will help you.
Good luck.
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Suggest Medication To Treat TB

Hello In the beginning sputum was POSITIVE and anti tubercular treatment started , retested after 5 months , still sputum was POSITIVE i.e. I would not say failure of treatment but ineffective treatment . Continued for another 13 month , no improvement , still doctor advise keep this treatment for two ( in all ). I have seen so many cases like this with these symptoms and signs. In my opinion this patient has developed MULTI DRUG RESISTANT TUBERCULOSIS . Now get in X RAY chest ( for fresh lesions) , sputum for A F B , Blood for C B C ( leucocytosis may present) E S R ( very high 100 mm) , Protein Purified Derivative test- Tuberculin Skin Test. If possible get in Bronchoscopy . Now upload all these reports or consult a CHEST & TUBERCULOSIS specialist and get his opinion. Hope this will help you. Good luck.