A 29-year-old woman with culture-proven endometrial tuberculosis is started on antitubercular therapy. For uncomplicated female genital tuberculosis, the recommended total duration of standard antitubercular chemotherapy is:
- A 12 months
- B 9 months
- C 6 months ✓
- D 3 months
Correct answer: C. 6 months
Explanation
Uncomplicated genital tuberculosis responds to the same short-course regimen used for pulmonary tuberculosis: 2 months of intensive therapy with isoniazid, rifampicin, pyrazinamide, and ethambutol followed by 4 months of isoniazid and rifampicin, totaling 6 months. Longer courses of 9 to 12 months were historical practice and are reserved for special situations such as drug resistance or extensive disease. Note that fertility damage from established tubal destruction may persist despite bacteriological cure.
Reference: Shaw's Textbook of Gynaecology, 18th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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