What Is The Appropriate Treatment For Tuberculosis?

Posted on Mon, 18 Jun 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 18 Jun 2018 Answered on

Tue, 21 Dec 2021 Last reviewed on

Question : Hello Doctor- Six months back was diagnosed with PTB and Cold Abscess Chest Wall on left side with other symptoms are evening fever, weigh loss , cough. FNAC of pus from Chest wall was done and it was confirmed as Tuberculosis infection.

Genexpert- Tuberculosis Detected with Rifampcin Sensitive.

Chest Xray- Lobulated opacity is noted along the pleura.

Below medicines were Started based on body weigh 58Kg

Rcinex 600Mg

Pyzina 1750Mg

Combutol 1200Mg

Also the pus was sent for Culture & Sensitivity test.

In the 7th week growth of Mycobacterium tuberculosis complex was detected with below sensitivity report

Streptomycine: Sensitive

Isonizaid:Sensitive

Rifampicin:Sensitive

Ethambutol:Resistance

Pyrazinamide:Sensitive

Based on the above report Ethambutol Resistance the doctor has modified the regime as

Rcinex(600) for another 6-9 months

Pyzina continue upto 3-4 months

Levolfoxcin(1000) for another 6-9 months.

Pyzina stopped after three months and now currently on Rcinex/Levofloxcin.
Six months has been completed .There was not much improvement seen in the chest X ray after six months so Dr ordered for Chest CT.Attach is the comparison report for Chest CT.
Based on the report Dr is asking to continue the medicine for another 4-6 months for complete healing.Some abscess is still left
Clinically I am perfectly ok
I would like to know if my treatment is going on the right direction.Will the abscess that is left will get cured over the period of time with current medicines I am taking.

Answered by Dr. Bhagyesh V. Patel (26 minutes later)

Brief Answer:
current treatment is of best standard level and is curable surely.

Detailed Answer:

Hi,

I have read your query with attached report of CT scan.

* The line of treatment given to you is as per the standard WHO guidelines
to control tuberculosis.

* Following are the relevant facts indicating better response to the current
medications as
- the symptoms are not present.
- the CT scan is showing significant improvement in terms of parameters
as pleural thickening, collection size, muscle involvement and nodules.

* As per my clinical experience, do not panic and continue the medications
as per the doctor`s guidance, you will be cured totally.

Additional help can be obtained with

- Balanced nutritious diet, involving more of carbohydrates, proteins,
vitamins, anti oxidants.
- Regular walking in fresh air, deep breathing exercises, YOGA
- Maintenance of blood sugar, body weight.
- Avoidance of tobacco of any type if using.

Hope this will clear your doubt.
Welcome for further assistance.

Wish you fine health.
Regards.

Above answer was peer-reviewed by : Dr. Kampana