USMLE/COMLEX - Step 2 - Mycobacterium tuberculosis

USMLE/COMLEX - Step 2 - Mycobacterium tuberculosis
Risk factors
Advanced age Immunosuppression HIV/AIDS Preexisting lung disease Alcoholism Diabetes
Symptoms
Fever Cough Hemoptysis Night sweats Weight loss Dyspnea Fatigue
Diagnostics
Sputum culture is most accurate Chest x-ray showing cavitary infiltrate in the upper lobe and hilar lymphadenopathy
Treatment
Mnemonic RIPE for two months
  • Rifampin
  • Isoniazid
  • Pyrazinamide
  • Ethambutol
Isoniazid and Rifampin for four months thereafter