TY - CHAP M1 - Book, Section TI - Tuberculosis A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 20-year-old man presents to the emergency department with a persistent cough for 3 weeks, low-grade fever, and night sweats. His chest X-ray shows mediastinal and right hilar lymphadenopathy and right upper lobe consolidation concerning for primary tuberculosis (Figure 56-1). Upon review of the radiograph, the emergency room staff admits the patient to a single room with negative pressure. The patient is placed in respiratory isolation, sputum is sent for acid-fast bacillus (AFB) stain and cultures, and the results show acid-fast bacilli consistent with Mycobacterium spp. (Figure 56-2). While culture results are pending, the patient is started on four antituberculosis drugs. Fortunately, the sputum culture result shows pansusceptible Mycobacterium tuberculosis, and his treatment continues with directly observed therapy through the local city health department. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/11 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164347205 ER -