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Yesterday, I took my last dose of anti-tuberculous medication ( Rifampicin and Isoniazide), and I saw a few tears drop.
It’s been a long 3 months of taking two tablets of this medication daily without missing a dose.
The worst of it was knowing they can cause liver damage, thankfully, all my LFTs were normal while I was on them, I will do my last liver check first week November.
The biggest challenge in being on this medication was having my urine and sweat turn orange colour. I was shy to urinate in public toilet as people will profile me to have a disease without knowing the urine colour was as a result of Rifampicin.
Why am I on this medication? Do I have tuberculosis?
The answer to the second question is yes and no!! I do not have an active TB as I have no symptoms of TB like, night sweats, cough, weight loss, coughing up blood, and my chest X-ray was completely normal.
However, during my pre-employment checks, I was asked to do a TB gold quantiferon test, to check if I have mycobacterium TB specific antigen.
Due to being born in Nigeria ( TB endemic area), lived in Ukraine for over 5 years ( TB endemic area), I was high risk of haven been in contact or exposed to TB. Somehow, I’ve worked in the NHS for 6 years, but wasn’t mandated to do this test due to my CXRs being normal.
I did the test and it came back positive, I did a Chest X-ray which was normal.
I had no symptoms, and thus, this is termed LATENT TB!!
Being in respiratory medicine for 4 years plus now, I could have come across a TB patient during Bronchoscopy, EBUS, chest drain insertion or even while looking after TB patient on the ward.
However, being Nigerian, and haven lived in Ukraine, I could have contacted this while doing medical posting in the TB hospital. But, due to my immune system being strong, my body was able to suppress this TB germ, meaning that I did not get infected with pulmonary TB, but the germ can live dormant in your body for so long, and gets reactivated when your immune system is low, or you have medication that can suppress your immune system and then cause actual TB infection in the future.
Being a respiratory physician, I knew the implication of a positive IGRA test, I could decide to take medication for three months and clear the germ, or live with it and hope I don’t have low immune system in the future which will put me at risk of having TB.
I chose the difficult option of getting the treatment and eradicating it. Now the long road is over, and I know this is dealt with now.
Now to the main reason I’m posting this, in my clinic, 95% of patients I’ve seen with Latent TB are from Nigeria, Ghana (Africa) and south east Asia ( mainly India and Sri Lanka). I have always managed to convince most Nigerians to take the treatment while others decided not to.
If you are a Nigerian and in UK, you might consider having this test done as you are at very high risk of having latent TB by just being born and raised in Nigeria.
I’m open to questions and sorry for the long read.
I’ve tried explaining this thing in different ways but Mothers have done a huge number on Sons so it’s just hard for Men to grasp!
Bless up @lazarusfemi2 for always spitting REAL LIFE stuff!
And yea I understood what @Odumodublvck_ was trying to clear on same issue perfectly!
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