RT Book, Section A1 Smith, Mindy A. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164347205 T1 Tuberculosis T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164347205 RD 2024/10/03 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.