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What Is The Appropriate Treatment For Tuberculosis?
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.
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.
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.
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
Answered by
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