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TUBERCULOSIS

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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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Page 1: TUBERCULOSIS
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Tuberculosis is a disease caused by an infection with the bacteria Mycobacterium tuberculosis.

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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.

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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.

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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.

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Hepatitis Peripheral neuropathy

Lupus

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Liver function tests

Clinical signs of hepatic toxicity

Numbness/tingling of extremities

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Alcohol Phenytoin Disulfiram Aluminum Salts Carbamazepine Benzodiazepines Anticoagulants Ketoconazole

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Hepatitis

Orange discoloration of secretions

Drug interactions

Immunologic mediated illness

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Liver function tests

Clinical signs of hepatic toxicity

CBC, platelets, serum creatinine, bilirubin

Bleeding abnormalities

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Warfarin Digoxin Beta-blockers Ketoconazole Verapamil Quinidine Methadone Phenytoin.

Corticosteroids Oral

Contraceptives Dapsone Theophylline Sulfonylureas Cyclosporine Protease

Inhibitors

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Gout Rash Peripheral neuritisOptic neuritis

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Visual acuity

Uric acid levels

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Aluminum salts

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Hepatitis

Gout

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Liver function tests Clinical signs of hepatic toxicity Uric acid levels

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Auditory Vestibular Nephrotoxicity Hypersensitivity

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Signs of Ototoxicity Vertigo Ataxia Hearing Loss

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Loop diuretics

Neuromuscular blockers