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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For TB Infection In The Left Upper Back?

Dear doctor, I was diagnosised with TB infection in my left upper back by ultrasound guided FNAC in february 2013, Medications: from March to May 2013 (1st 3 months) i took 4 tablets daily contained Rifampicin 150mg + Isoniazid 75mg + Pyrazinamide 400mg + Ethambutol 275mg/tablet. Then from June to December 2013 (next 7 months) i took 2 tablets daily contained Rifampicin 300mg/ + Isoniazid 100mg/tablet. In December 2013 i had the TB skin test which was 12 mm. Then from januray 14 to april 30 i again continued the second dose as usual. But still now i feel a pinch type pain inside while i stretch my left upper back muscle. Please give me your valuable suggestion whether i should go for the surgery now to get rid of the infection.
Tue, 11 Nov 2014
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General & Family Physician,  's  Response
Hello
As you mentioned that there is a tuberculosis in the back ( in my opinion this may be extra pulmonary tuberculosis after fnac report).
But dosage you mentioned of anti tubercular medicine is not perfect ( in my opinion ).
The dosage are adjusted according to weight wise as:
Rifampicin 8-9 mg /kg body weight.
Isoniazide 10 mg /kg
Ethambutol 16-18 mg /Kg
Pyrazinemide 25-30 mg /kg.
In my opinion this treatment should be for initial 2-3 months according to severity of symptoms ( known as intensive treatment ) .
After this 2nd treatment started depending on condition of disease 6 months to 1 year ( total ).
As about tuberculin test , still you may have disease.
In my opinion consult a Tuberculosis physician and get his opinion about all these .
In any condition patient should not develop resistance to anti tubercular drugs.
Hope this will help you.
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What Is The Treatment For TB Infection In The Left Upper Back?

Hello As you mentioned that there is a tuberculosis in the back ( in my opinion this may be extra pulmonary tuberculosis after fnac report). But dosage you mentioned of anti tubercular medicine is not perfect ( in my opinion ). The dosage are adjusted according to weight wise as: Rifampicin 8-9 mg /kg body weight. Isoniazide 10 mg /kg Ethambutol 16-18 mg /Kg Pyrazinemide 25-30 mg /kg. In my opinion this treatment should be for initial 2-3 months according to severity of symptoms ( known as intensive treatment ) . After this 2nd treatment started depending on condition of disease 6 months to 1 year ( total ). As about tuberculin test , still you may have disease. In my opinion consult a Tuberculosis physician and get his opinion about all these . In any condition patient should not develop resistance to anti tubercular drugs. Hope this will help you.