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Topics:
Tuberculosis
•
Pulmonology
•
Pulmonary Infections
Are there clinical scenarios in which you would start empiric treatment for pulmonary TB without microbiologic confirmation?
Related Questions
Do you continue previously prescribed antiretroviral therapy alongside steroid therapy in a patient with established HIV infection who is later diagnosed with TB meningitis?
Would you treat a sputum culture positive for Aspergillus niger despite an atypical CT chest and a negative serum galactomannan in an immunosuppressed patient who is too high risk for bronchoscopy?
Is there a role for chronic suppressive oral or inhaled therapy for recurrent Burkholderia cepacia pneumonia causing frequent hospitalizations in a patient with severe bronchiectasis with or without underlying cystic fibrosis?
Do you favor timely bronchoscopy for diagnostics over close surveillance in mildly symptomatic patients with CT findings suspicious for NTM infection who are not able to expectorate?
For how long do you recommend treatment for latent tuberculosis prior to initiation of anti-TNF therapy?
Do you use steroids in the management of PJP pneumonia with severe hypoxia in HIV negative patients?
Does your approach to treating latent tuberculosis differ in a patient on anti-fibrotic therapy?
How would you approach a pulmonary-renal PR3+ ANCA vasculitis patient who has persistent re-narrowing of mainstem bronchus after several dilatation and stenting procedures, with other anca features well-controlled on rituximab & avacopan?
How would you approach medication de-escalation in a patient with a history of rapidly progressive CTD-ILD who responded to and is currently on mycophenolate 3 grams daily and IVIG 2mg/kg monthly infusions and has been stable for two years?
How would you manage a patient with morbid obesity who presents with new symptomatic pulmonary embolism a few days after he was started on DOAC for DVT?
