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Respiratory Disorders  (Expert Forum)
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immedicable tuberculosis
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immedicable tuberculosis

by Bai, Aug 13, 2005 12:00AM
First thank you very much for your help.
The symptom is: 1.sneeze; 2.have accumulated succus in lungs; 3. drug-fast(not sensitive to antibiotic).4.can not ambulate.
This kind of tuberculosis is immedicable in best hopital of China.
I am asking for international help. What is this problem? and can this kind of tuberculosis be cured? and how to cure?
Your help will be highly appreciated.

by National Jewish, Aug 26, 2005 12:00AM
To find out if you have tuberculosis (TB), your doctor will gather five important pieces of information:
· your symptoms;
· your exposure to TB compared to the start of your symptoms;
· the results of a tuberculin skin test called purified protein derivative (PPD);
· how your chest x-ray looks; and
· sputum test to see what germs are found.

Purified protein derivative (PPD) is a skin test for TB.  For this test a liquid is injected just under the skin.  Dead tuberculosis germs are mixed in this liquid.  If you have been infected with TB, a lump will usually form at the site of the injection.  This is a positive PPD test.  Generally this means that TB germs have infected your body.

If TB has attacked your lungs it causes inflammation that shows on your chest x-ray as a shadow.  You may have symptoms of TB, such as cough, fever, weight loss, and night sweats.  This is active TB.

When you cough sputum up from your lungs, this can be tested to see if TB germs are present.  To do a sputum smear a microscope is used to look at your sputum for signs of TB.  Then these germs are left to grow in the lab to see which germs grow.  Susceptibility testing is done to determine which medicines will work best against these germs.

Most of the time drug-susceptible TB is treated with 2 to 4 medicines for 6 to 9 months.  The medicines may include:
· Ethambutol
· Isoniazid
· Pyrazinamide
· Rifampin
· Streptomycin
Multiple medicines are often needed.  It is important to take all of the doses prescribed.  Often all of the TB germs cannot be destroyed with only 1 medicine.

Since active TB is slow to respond completely to treatment, medicines must be taken every day for at least 6 months, and in some cases for 1 year or more.  If the TB medicines are not taken regularly, serious complications may develop:
· The germs may become resistant to 1 or more of the medicines.
· There may be an increased risk of toxic reactions from the medicines.
· There is a high risk of TB relapse or recurrence.
Given the many effective medicines available today, the chances are great that a person with TB can be cured.  However it is important for the person to understand the disease and to cooperate fully in the treatment.  Please read our disease information at http://www.nationaljewish.org/disease-info/diseases/tb/index.aspx to learn more about TB.
Member Comments (4)

by bactitech, Aug 14, 2005 12:00AM
I think English as a second language is presenting a problem in presenting your case. I believe you're saying that you have MDR (multi-drug resistant) tuberculosis, and this is not treatable where you are now, which is China.

Are you saying that you only had sneezing as a symptom, and then this turned into TB? I think you're leaving a lot out of your history. I assume you cannot travel because you are carrying a form of TB that is not treatable and that can easily be spread.

Please write back and tell us whether or not I've interpreted correctly.

I would assume that if the above is true, you are considered a public health risk until your TB is treated, and you are asking how it could be treated.

http://www.medstudents.com.br/tisio/tisio1.htm

http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=35815

http://www.who.int/tb/dots/dotsplus/en/

http://www.who.int/mediacentre/factsheets/fs104/en/index.html

Perhaps the above URL's will help you out.

by Bai, Aug 14, 2005 12:00AM
Sorry the symptom is not clearly described. Yes, he is MDR, it means that all the medicine does not work. Now, he is very weak, and have to use some nutrition medicine to support his body. The sneezing is one of his symptom, which is very infrequent told by the doctors. Now there have existed ichor in lungs. I am not sure if I have clearly described this time.
Thank you very much for your attention.

by bactitech, Aug 14, 2005 12:00AM
I am not a physician, so I'm really not familiar with the exact ways that MDR TB is treated. Having TB is definitely a public health threat, and if he can't be treated, this is indeed a problem, as this is a bug you definitely don't want to be spreading into the population.

Perhaps those URL's I posted in my previous post will give you some ideas. Also, the nurse for this site hopefully may give some insight.

Good luck.
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