The Tuberculosis ( Mtb )

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Mycobacterium tuberculosis (MTB) is an infection that about one-third of the population has. MTB, which is an airborne infection, can infect nearly any organ of the body. Human immunodeficiency virus or HIV also has an impact on the world. In 2011, it was estimated that around 34 million people were living with HIV. This virus is contracted by the exchange of blood or bodily fluids whether it be from sexual contact or sharing needles or syringes used for drugs. In addition, HIV is a retrovirus specifically attacking the CD4 T lymphocytes. Acquired immunodeficiency syndrome (AIDS) is the disease caused by already having the HIV infection. The possibility of having both diseases has gradually diminished due to the improvements made in…show more content…
The rest of her examinations deemed normal. He white blood cell count was 7500/µL (normal range being 4,800-10,800/µL with seventy-five percent neutrophils. Her hematocrit test (the volume of red blood cells to the total volume of blood) was thirty-four point three percent. Along with her urinalysis, serum electrolytes, and liver function tests, the patient was ruled completely normal. Treatments that were provided during her stay were empiric intravenous vancomycin and piperacillin/tazobactam, along with oral fluconazole, which was added due to oral candidiasis. Azithromycin 1200mg weekly was added for MAC prophylaxis and since she was at a lower risk for the nosocomial pathogens, the antibiotics given were reduced to amoxicillin instead. The patient had tests ran such as an esophagogastroduodenoscopy (EGD) which stated the esophagus was estimated average. No granuloma or acid-fast bacilli(AFB) were seen, her duodenum was normal, but atrophic gastric mucosa was seen and enlarged folds with friable mucosa with lacy reticular pattern was found in gastric fundus. Therefore, an upper endoscopic ultrasound (EUS) was conducted. This showed that the patient had a 3.1cm x 1.8 cm heterogeneous mass lesion coming from the submucosa in the fundus with small anechoic spaces. Viscous serosanguinous liquid was obtained by fine needle aspiration. A gram stain confirmed negative of aspirate yet the AFB showed an excess
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