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How to treat multidrug-resistant tuberculosis?

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Patient's Query

Hello doctor,

I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this.
Answered by Dr. Amol Kumar Wasudeorao Diwan

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

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Hello,

Welcome to icliniq.com.

I have seen both reports (attachment removed to protect the patient's identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. Decreased immunity might be a cause. If it is MDR-TB (Multidrug-resistant tuberculosis), these second-line drugs should be started with remaining sensitive first-line drugs. When there is no report of resistance to Isoniazid or Rifampicin, only then we say it is MDR-TB. So, please get the sensitivity test done for all first and second-line drugs. The treatment plan is anti-tubercular treatment. The patient must take an injection of Streptomycin 750 mg IM (intramuscular) daily along with tablet Akurit 4 (a combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol) according to weight. Also, give protein supplements like eggs and protein powder with milk. The investigations to be done include Sputum AFB (acid-fast bacilli) culture and sensitivity test for first and second-line drugs. As a preventive measure, the patient should compulsorily use a face mask. Thank you.

Medically reviewed by Dr. K. Shobana
Published At October 7, 2015
Reviewed At June 20, 2024

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Dr. Amol Kumar Wasudeorao Diwan
Dr. Amol Kumar Wasudeorao Diwan

Allergy Specialist

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Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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