29th February 2024

A 26-year-old medical student presents to the emergency department with a productive cough of green sputum, night sweats, and fatigue.

A 26-year-old medical student presents to the emergency department with a productive cough of green sputum, night sweats, and fatigue. She had returned to the UK two months prior, following her elective in Tanzania.

PH. Migraines. DH. Sumatriptan 50 – 100mg as required. NKDA. SH. Lives alone.

Investigations

WCC 15.2 (4.0 – 11.0 x 109/L)

CRP 112 (< 3 mg/dL)

LFTs, U&Es otherwise unremarkable

A chest x-ray is requested, which shows the following:

Gaillard F, Tuberculosis – left upper lobe. Case study, Radiopaedia.org (Accessed on 24 Mar 2023) https://doi.org/10.53347/rID-12569

A provisional diagnosis of pulmonary tuberculosis is suspected. Sputum culture results are pending.

Select the most appropriate drug regimen for this patient: