Clinical Case Discussions and Video Conference Archive

Hosted by Dr. Maunank Shah, this case-based webcast brings together clinicians caring for patients with active tuberculosis to discuss diagnostic and therapeutic challenges. Participants include clinical TB experts from the Johns Hopkins University Division of Infectious Diseases, University of California—Los Angeles and LA County TB program, Harvard University-Beth Israel, and local and regional health departments.

TB Case Discussion (2013-12-18)

TB Case Conference
Drs. Maunank Shah and Caitlin Reed
Twelve year old female from India recently immigrated presents with one week of mild headache and malaise. No fevers, chills, cough, wieght loss, night sweats. Noted to be very irritable with personality changes and went to emergency department.

TB Case Discussion (2013-10-23)

TB Case Conference
Drs. Caitlin Reed and Maunank Shah
What is your experience with hypercalcemia during TB treatment? Is this a component of IRIS in HIV-infected patients with disseminated TB after initiating ART? Does Vitamin D deficiency put a patient at increased risk for active TB? Is Vitamin D supplementation safe in TB Patients?

TB Case Discussion (2013-09-25)

TB Case Conference
Drs. Maunank Shah and Caitlin Reed
Issues raised in this session included the usage of flouroquinolone based regimens and management of TB in patients with underlying liver disease and the diagnosis and management of TB relapse.

TB Case Discussion (2013-06-26)

TB Case Conference
Dr. Maunank Shah
Symptoms/radiography resolved 3 weeks later and no systemic symptoms. Would anyone have started empiric MDR-TB therapy for ‘pleural TB’? LTBI therapy? Regimen? Can we rule out early active TB? Risk of further drug-resistance acquisition if given monotherapy? 'Watchful waiting’?

TB Case Discussion (2013-05-15)

TB Case Conference
Dr. Maunank Shah
What happened, and why? Paradoxical reaction? Steroid taper too fast? Missed another cause of meningitis, e.g. cocci with negative serology early on? Would you have repeated the LP at this point? When would you consider a surgical intervention? How much steroid should we give now? Is there anything...

TB Case Discussion (2013-02-25)

TB Case Conference
Dr. Maunank Shah
Should skin/soft tissue TB abscesses be drained? What is the role of surgical treatment (i.e. pre-vertebral abscess) vs. medical management? How is the duration of steroids for treatment of TB pericarditis modified with HIV and ART usage ?

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