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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Miliary Koch S . Continuous Mild Fever. On Tablets. Suggest Right Medication

Having fever since 2 months. Diagnosed Miliary Koch's through CT Scan on 4th April 2013. Initially there was skin rashes due to Forecox tablet- Containing:

1) Rifampicin
2) Isoniazid
3) Pyrazinamide
4) Ethambutol Hydrochloride

So the medicine was given as separate tablets.

After breakfast- Rifampicin 450mg, Pyrazinamide 750mg and Isoniazid 300mg.

After Dinner- Pyrazinamide 750mg and Ethambutol Hydrochloride 1000mg

The body accepted the treatment. This treatment was started from 17th April. Presently the fever ranges from
98.6 to 99.8 F

Please guide:

1) when the fever will become normal i.e 98.6 F
2) Whether this arrangement of medicine is correct or needs some change
Thu, 9 May 2013
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Pathologist and Microbiologist 's  Response
Hello
welcome to health care magic
Regarding miliary tuberculosis you should undergo treatment for a minimum period of 6 months,,if there is no TB meningitis..
If it is there then the duration will be from 9-12 months..
Treatment consists of 1st 2 months of intensive phase containg isoniazid,rifampcin,pyrizinamide,ethambutol..
followed by 4 months of maintenance phase which contains only 2 drugs isoniazid and rifampcin.
combination of drugs are given to avoid resistance to bacilli..
You must take at least 6 months to become completely free of miliary koch's..

You are taking the correct treatment,no need to worry..
if you are getting fever try anti pyretic drugs like paracetmol to relieve fever..during the starting of treatment fever will come.
Hope you understand my suggestion..
Thank you
Dr.siddartha
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Diagnosed Miliary Koch S . Continuous Mild Fever. On Tablets. Suggest Right Medication

Hello welcome to health care magic Regarding miliary tuberculosis you should undergo treatment for a minimum period of 6 months,,if there is no TB meningitis.. If it is there then the duration will be from 9-12 months.. Treatment consists of 1st 2 months of intensive phase containg isoniazid,rifampcin,pyrizinamide,ethambutol.. followed by 4 months of maintenance phase which contains only 2 drugs isoniazid and rifampcin. combination of drugs are given to avoid resistance to bacilli.. You must take at least 6 months to become completely free of miliary koch s.. You are taking the correct treatment,no need to worry.. if you are getting fever try anti pyretic drugs like paracetmol to relieve fever..during the starting of treatment fever will come. Hope you understand my suggestion.. Thank you Dr.siddartha