First about Latent TB
Screening for Latent TB must prior to immunosuppression
Positive results could delay immunosuppression
TB could occur even in with negative screening
But treating reduces odds of TB while on Rx @IBDmedicaldoc
As health professionals it is our duty to correct misinformation but please remember most of us are tired and drained. It is not easy to stand up to and fight the pandemic of misinformation in each of the residential and family groups
We should always share responsibly but the responsibility increases manifold during these torrid times.
This is something a well intentioned citizen shared on whatsapp group of our society.
Not only it promotes an unknown medicine but argues against 'running' after oxygen
When questioned about evidence he shared another image
2/nMicrobiological diagnosis of ITB is possible in only 20-40% cases. Discriminating Intestinal TB and Crohn disease is tough and most clinicians in endemic countries encounter this confusion commonly 😕. . #Tuberculosis
3/n Then how to differrentiate: When in doubt, we start ATT. We know it could be Crohn's but the consequences of starting immune-suppressing treatment in Intestinal TB could be disastrous. tandfonline.com/doi/full/10.10…