Suggest Treatment For Drug Resistant Pulmonary Tuberculosis
Drug resistant tuberculosis
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
It seems your father with diabetes has drug resistant pulmonary tuberculosis since even after 08 months of first-line AKT with R-cinex,likely Combutol and Benadone (Vit B6),his bronchoscopy sample has grown AFB.Hence your doctor /pulmonologist has asked for drug sensitivity tests. However in stead of 13 drug profile,at first one can go for rather a short list of second-line drug(especially the fluoroquinolones and the injectable drugs) profile and it will cost less.Results are obtained rapidly by direct susceptibility testing on liquid medium, with an average reporting time of 3 weeks. Drugs will be selected as per sensitivity profile .
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Kindly upload reports
Detailed Answer:
Hi,
Kindly upload all your reports especially bronchial lavage microscopy & culture reports. I will be in a better position to answer. You have a feature to upload the reports by yourself on the right side of this query page. Please utilize it.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Drug resistant TB (MDR)
Detailed Answer:
Hi,
There is no doubt that your father has pulmonary tuberculosis and resistant to present drugs. Hence you need to go for sensitivity tests. MDR diagnosis & treatment is expensive but there is no other alternative,as it will be fatal ,if left untreated and also will spread to other family members with disastrous consequences.
Regards
Dr. T.K. Biswas M.D. XXXXXXX