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Infectious Disease Advisor

Disseminated TB in refugees without HIV: diagnosis and treatment

Treating refugee patients with severe disseminated tuberculosis (TB) who do not have HIV presents unique diagnostic and therapeutic challenges, requiring heightened awareness, comprehensive medical histories despite language barriers, and a multidisciplinary team effort between healthcare providers, social workers, clinical psychologists, and nutritionists, according to a grand rounds report published in The Lancet Infectious Diseases.

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Antiviral therapy may prevent liver injury in hepatitis B/TB co-infection

Receiving antiviral treatment for hepatitis B (HBV) at the time of tuberculosis (TB) diagnosis reduced hospitalizations as a result of drug-induced liver injury by 56%, indicating that patients with TB and HBV co-infection should be given antiviral treatment for HBV when anti-TB therapy is initiated, according to a study published in Clinical Infectious Diseases.

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QuantiFERON-TB Gold-Plus performance in children with confirmed TB

Although the new interferon-gamma release assay QuantiFERON-TB Gold Plus® (QFT-Plus) had good sensitivity in children with pulmonary tuberculosis (TB) only, QFT-Plus had poor sensitivity in children with extra-pulmonary TB only, according to a study published in PLoS One.

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Moxifloxacin not superior to ethambutol for recurrent TB

Despite reducing the median time to culture conversion, replacing ethambutol with moxifloxacin has not shown efficacy in recurrent tuberculosis treatment success in an 8-week trial, according to a study published in Clinical Infectious Diseases.

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HIV, TB co-infection associated with decreased neurological performance

Co-infection of human immunodeficiency virus (HIV) and tuberculosis (TB) may be associated with decreased neurological and neuropsychological functioning, according to a study published in Clinical Infectious Diseases.

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Automated molecular assay detects drug-resistant TB

An automated molecular assay can detect Mycobacterium tuberculosis with resistance to drugs directly from sputum specimens, according to a study published the New England Journal of Medicine.

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