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Internal Medicine
• All sputum-positive patients on DOTS must have one sputum specimen
examined at the end of the 2nd, 5th and 7th month. If sputum is negative at the
end of 8 weeks, the continuation phase can be started.
• Corticosteroids are added to the anti-TB in TB meningitis, pericarditis, and spinal
TB. Adrenal TB patients should have replacement therapy.
Tuberculosis and HIV is dealt on HIV section
1) Kasper L., Braunwald E., Harrison’s principles of Internal medicine, 16th Edition,
Tuberculosis, pages 953-965.
2) National TB Treatmnet guidline for Ethiopia
3) Treatment of Tuberculosis : Guidline for National programmes , Third edition ,
WHO- Geneva 2003
4) TB/HIV , a clinical manual , Second edition , WHO-Geneva , 2004