Medicine question - ricardoricardo

[ArchivalUser]

A 20 y/o female comes to u complaining of productive cough night sweats weight loss over the last month on examination she looks under weight her temp. 38¤ & has some bruising marks on her leg,when u ask her she tells that they were painfull lesions associated with her recurrent episodes of mucus diarrhea & abdominal pain and mouth ulcers and she tells u that she were also passing stool per vagina & she started receiving treatment for it 6 month ago.a tuberculin test & culture confirmed tuberculosis.what is the most proable cause of it is reactivation?

a.Infliximab
b.Meseazine
c.NSAIDs
d.Isoniazide
e.Terlipressin

[ArchivalUser]

aa

[ArchivalUser]

aa

[ArchivalUser]

This patient has a history of crohn's disease(an inflammatory bowel disease) which has complicated with fistula formation , treatment is with meselazine(AMINO SALYCYALTE) and Steroid ex. Bidusonide,
although in patients faililng to respond to this therapiutic procedures and specially in patients with fistula formation an anti-TNF monoclonal anibody(Infliximab) is indicated but it was found that on it is use patients had reactivation of latent TB. so as meduploader said a Purified protein derivative test (PPD) should be done prior to starting treatment, and if it is positive Isoniazide should be started

[ArchivalUser]

bump