RT Book, Section
A1 Smith, Mindy A.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164347205
T1 Tuberculosis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164347205
RD 2024/04/20
AB A  20-year-old  man  presents  to  the  emergency  department  with  a  persistent  cough  for  3  weeks,  low-grade  fever,  and  night  sweats.  His  chest  X-ray  shows  mediastinal  and  right  hilar  lymphadenopathy  and  right  upper  lobe  consolidation  concerning  for  primary  tuberculosis  (Figure  56-1).  Upon  review  of  the  radiograph,  the  emergency  room  staff  admits  the  patient  to  a  single  room  with  negative  pressure.  The  patient  is  placed  in  respiratory  isolation,  sputum  is  sent  for  acid-fast  bacillus  (AFB)  stain  and  cultures,  and  the  results  show  acid-fast  bacilli  consistent  with  Mycobacterium  spp.  (Figure  56-2).  While  culture  results  are  pending,  the  patient  is  started  on  four  antituberculosis  drugs.  Fortunately,  the  sputum  culture  result  shows  pansusceptible  Mycobacterium  tuberculosis,  and  his  treatment  continues  with  directly  observed  therapy  through  the  local  city  health  department.