TB and not-TB

Question 1

What maintains a latent TB infection?

Answer 1

• TNF (• IMIFLEXIMAb treatment could reactivate!! )

Question 2

What are glandular swelling from TB infection of cervical lymph node called?

Answer 2

scroffula

Question 3

What are the classic symptoms of TB?

Answer 3

cough, weight loss, fever, night sweats, hemoptysis, chest pain

identical to Histoplasmosis symptoms -

Question 4

How would you differentiate TB from histoplasmosis?

Answer 4

differant cultures, neither gram stain

TB is acid-fast + (RED) and has microscopic serpentine appearance

Histoplamosis can seen as oval yeast within macrophages on biopsy or bloodwork can culture on sabourauds agar

Question 5

What is the treatment for TB

Answer 5

isolate for 1st 2 weeks, the use 4 drugs ISONAIZID, RIFAMPIN,PYRAZZINAMIDE, and either ETHAMUTOL or STERPTOMYCIN

Question 6

Erythemia nodosum + Birth control ==> taken to releive symptoms post ____?

Answer 6

LEPROMATOUS LEPROSY

Question 7

What is the presentation of an atypical mycobacterial infection in an adult vs child?

Answer 7

Adult: Cutaneous

Child: Scoffula

Question 8

What atypical mycobacterium will produce a systemic syndrome similar to TB? that can be killed with same antibiotics?

Answer 8

M/ Kansassi