Conversation: The conversation between human and AI assistant.
[|Human|] Dear doctor, I was diagnosised with TB infection in my left upper back by ultrasound guided FNAC in february 2013, Medications: from March to May 2013 (1st 3 months) i took 4 tablets daily contained Rifampicin 150mg + Isoniazid 75mg + Pyrazinamide 400mg + Ethambutol 275mg/tablet. Then from June to December 2013 (next 7 months) i took 2 tablets daily contained Rifampicin 300mg/ + Isoniazid 100mg/tablet. In December 2013 i had the TB skin test which was 12 mm. Then from januray 14 to april 30 i again continued the second dose as usual. But still now i feel a pinch type pain inside while i stretch my left upper back muscle. Please give me your valuable suggestion whether i should go for the surgery now to get rid of the infection.
[|AI|]  Hellos you mentioned that there is a tuberculosis in the back (in my opinion this may be extra pulmonary tuberculosis after FNAC report). But dosage you mentioned of anti-tubercular medicine is not perfect (in my opinion). The dosage are adjusted according to weight wise as:Rifampicin 8-9 mg /kg body weight. Isoniazide 10 mg /kg Ethambutol 16-18 mg /KgPyrazinemide 25-30 mg /kg. In my opinion this treatment should be for initial 2-3 months according to severity of symptoms (known as intensive treatment) . After this 2nd treatment started depending on condition of disease 6 months to 1 year (total). As about tuberculin test, still you may have disease. In my opinion consult a Tuberculosis physician and get his opinion about all these. In any condition patient should not develop resistance to anti-tubercular Chat Doctor. Hope this will help you.