Suggest treatment for tuberculosis
Patient: HI I am Dr Shamshad Alam ...I would like to know about a patient who is suffering from cox A female of age 35 was suffering from tuberculosis and medication was given and dr advise her to close the medicine...but she is still seuffering from same condition like dysnea.fever .cough,headche,weight loss etc what should I adivse to her? Doctor: hello, speaking of pulmonary tuberculosis whether it was sputum positive or negative treatment was started of suspicionor basec on CT scan was not mentioned. if treatment was initiated after sputum AFB positivity treatment duration will be of 6 months provided patient has drug sensitive bacilli. if sputum remains positive at the end of intensive phase then suspect MDR TB and send sputum for culture and sensitivity. if patient not improved on ATT suspect other causes of sputum AFB positivity like nocardia and atypical mycobacteria. kindly review the initial diagnosis if it was confirm tuberculosis, check for compliance with treatment and  then proceed with sputum culture and sensitivity testing.