doyoudig
Forum Guru
Topics: 144
Posts: 613
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h/o crohn's disease in past which is refratory to the steroid azithroprine and 6 mercaptouria ..... first year residency doctor put him on infliximab without checking PPD induration ........after 3 weeks patient developed cough, night sweat , and weight loss.......lab work and x-ray conformed the diasease reactivation of TB....... now what is the next......
a. discontinue the infiximab
b. discontinue the infiximab and start anti-TB drugs
c. continue the infiximab and start anti-TB drugs
d. replace the infiximab to steroid and continue the TB drugs
have no Conclusive answer to this questions. Hope to come to a conclusion after discussion with all of u.
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| Justice
Forum Fanatic
Topics: 106
Posts: 2,101
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c. continue the infiximab and start anti-TB drugs
inflixumab isn't an immunosuppresant in a classic definition, whereas azithroprine and 6 mercaptourin are...
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| dr in trouble
Forum Guru
Topics: 62
Posts: 601
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I think the same
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