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TUBERCULOSIS. What is tuberculosis?. Tuberculosis is a disease caused by an infection with the bacteria Mycobacterium tuberculosis. What are the symptoms?. Typical signs of tuberculosis are: - PowerPoint PPT Presentation
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Tuberculosis is a disease caused by an infection with the bacteria Mycobacterium tuberculosis.
Typical signs of tuberculosis are:Chronic or persistent cough and sputum production. If the
disease is at an advanced stage the sputum will contain
blood.
Fatigue.
Lack of appetite.
Weight loss.
Fever.
Night sweats.
Today, treatment involves three or four different kinds of
antibiotics given in combination over 6 to 12 months.
Multiple medicines are necessary to prevent the emergence of
resistance, which would lead to treatment failure.
The main cause of treatment failure is non-compliance with
what is perceived as a demanding and prolonged programme of
therapy.
For positive culture do susceptibilities and report results to Health Department
begin taking four medications — isoniazid, rifampicin , ethambutol pyrazinamide and streptomycin .
The standard "short" course treatment for tuberculosis (TB), is: isoniazid, rifampicin, pyrazinamide, and ethambutol for two
months, Then isoniazid and rifampicin alone for a further four months.
This regimen may change if tests later show some of these drugs to be ineffective.
Hepatitis Peripheral neuropathy
Lupus
Liver function tests
Clinical signs of hepatic toxicity
Numbness/tingling of extremities
Alcohol Phenytoin Disulfiram Aluminum Salts Carbamazepine Benzodiazepines Anticoagulants Ketoconazole
Hepatitis
Orange discoloration of secretions
Drug interactions
Immunologic mediated illness
Liver function tests
Clinical signs of hepatic toxicity
CBC, platelets, serum creatinine, bilirubin
Bleeding abnormalities
Warfarin Digoxin Beta-blockers Ketoconazole Verapamil Quinidine Methadone Phenytoin.
Corticosteroids Oral
Contraceptives Dapsone Theophylline Sulfonylureas Cyclosporine Protease
Inhibitors
Gout Rash Peripheral neuritisOptic neuritis
Visual acuity
Uric acid levels
Aluminum salts
Hepatitis
Gout
Liver function tests Clinical signs of hepatic toxicity Uric acid levels
Auditory Vestibular Nephrotoxicity Hypersensitivity
Signs of Ototoxicity Vertigo Ataxia Hearing Loss
Loop diuretics
Neuromuscular blockers