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Culture results: mycobaterium tuberculos
My younger brother is suffering from tb doctor has started tb medicines 3 months ago and as per the report bacteria is sensitive to all tb drugs like isonaizid, rifampicin, embutol, pretonmind, bedquiline, delamind etc and all other tb drug including injections like kanamycin and other but even after taking medication he is still suffering from fever like 103,102,101 etc. sometimes fever goes to normal without medicine and sometimes after taking dolo 650 fever don't go to normal what should we do. After discharge from hospital for 1 month there was growth in health like weight gain increase in energy level no fever for 1 month but after one month fever came suddenly and after final report of drug succeptibility came and bacteria is sensitive to all drug then what is the reason of fever.
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We have to still look at multidrug resistant TB as there may be in vivo in vitro discrepancies or a hyper immune response to tb which is seen in some patients after starting the TN treatment. He needs to be constantly under supervision of an experienced pulmonologist. I will suggest to go to a government tertiary care setting where proper investigations and treatment facilities are available
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Nothing to worry. Fever will come down after few days.The clinical improvement like wt gain,etc, shows that, the drugs are acting.pl continue the Att as prescribed by specialist. Fever can be due to toxins released by the bacteria,when they are killed. Pl consult pulmonologist for further evaluation and treatment.
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