08-06-2011, 07:59 AM
A 32 year old hispanic woman with past medical history of HIV infection on Anti-retroviral therapy evaluated in your office because she is concerned about her potential exposure to Tuberculosis. Her father has come to visit her from Mexico and he was diagnosed with cavitary tuberculosis of left lung three week ago. He is currently receiving multi-drug anti-tuberculosis therapy. The patient says she has been taking care of her father at home since the diagnosis was made. A Tuberculin skin test is administered and is negative after 72 hours. Patient denies any fever, cough, chest pain or weight loss. Which of the following is most appropriate management ?
A) Re-assurance
B) Repeat PPD in 3 months
C) Start Isoniazid
D) Chest X-ray
E) Repeat PPD in one year
A) Re-assurance
B) Repeat PPD in 3 months
C) Start Isoniazid
D) Chest X-ray
E) Repeat PPD in one year