Tuesday, May 5, 2015

Study group discussion: Questions on tuberculosis

20 year old girl with a TB contact history comes to OPD with complaint of hemoptysis. Her TST is 20mm and her smear & culture is positive for mycobacterium TB.

Now some questions related to pulmonary TB!

What is brocks syndrome?

When the enlarging hilar lymph node causes collapse of bronchi, leading to bronchiectasis is called Brocks syndrome. Specially right middle lobe.

What do you exactly mean by post primary tuberculosis?

Post primary refers to TB that occurs few weeks after primary TB when the immunity has developed.

Chemoprophylaxis with which drug should be prescribed if a patient is gonna undergo some immunity wrecking thing like eg, gonna take long term steroids and their CXR shows evidence of previous TB?


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