Consult Infectious Disease
Four Drug Therapy
Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Latent disease believed to affect >20% of world population.
Prevalence higher in developing nations and mimics HIV/AIDS distribution.
Pulmonary:
Cavitating pneumonia
Upper lobe pnuemonia
Occasionally miliary
Extrapulmonary:
Lymph node disease
CNS infection
Osteomyelitis (Potts)
Peritoneal
Others
Notify Infection Control for all cases of confirmed or suspected Tb.
Airborne precautions for pulmonary disease (confirmed or suspected).
Caseating granulomas on pathology.
MDR includes rifampin and isoniazid resistance.