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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 Refernces: 1) Kasper L., Braunwald E., Harrisonâs 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 78