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TB, lung cancer, AKT4, medication?

My father have TB Last 4 years back and it is treated after 2 years then he got 2nd time tuberclosis age 65 years last 6 months back doctor told he have lung cancer and it taken treatment still fever is there he told the once again TB is there. pls suggest what type of medicine he can use is it ok for AKT4 he is using AKT4 last 10days still he got fever and legs and back pains. pls tell when it will stop.
Asked On : Tue, 22 May 2012
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General & Family Physician 's  Response
Welcome to HCM.

Based on the information provided, your father has recurrent attacks of Tuberculosis. Recurrent Tb is seen in people with compromised immunity like malnutrition, malignancy, HIV, diabetes, treatment with steroids and immuno suppresants etc., or due to drug defaulting or Drug resistant TB.

As you have mentioned your father had lung cancer the possible causes for recurrence in your father's case are malnutrition, malignancy and usage of immunosuppresants( used to treat Malignancy). You have not mentioned what is the type of lung cancr with which your father suffered. So i can not comment on that.

As far as Treatment of TB is concerned AKT4 should work. As it has been just 10 days since the treatment started, please wait for 2 more weeks. If the fever and body pains still persist, then taking Streptomycin Injections along with AKT4 should help your father. Meanwhile give him good diet and plenty of oral fluids, so that his body is well supported during the course of treatment.

Wait for 2 more weeks and see your doctor again and discuss with him about the above mentioned things and starting streptomycin.

Hope your father recovers soon.

Take Care


Answered: Tue, 22 May 2012
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