Karamat Ahmed Karamat, Karamat Ahmed Karamat, Sikandar Hayat, Tariq Butt, Shahid Abbasi.
Multi-Drug Resistant Tuberculosis.
Pak Armed Forces Med J Jan ;50(2):114-6.

MDR in mycobacteriology is defined as simultaneous resistance to atleast RIF and INH, either with or without the resistance of other drugs. Tuberculosis remained the leading cause of morbidity and mortality since the start of the last century and it remains so till today. The today`s dilemma is the emergency of multi-drug resistant (MDR) strains of Mycobacterium. MDR tuberculosis is not a new phenomenon and resistance to anti-tuberculosis drugs has been noted since the drugs were first introduced. In the last decade, tuberculosis has re-emerged as one of the leading ailments reportedly causing nearly 3 million deaths annually. This mounts to 5200 deaths every week, which thus translates into 1000 new cases every hour. These deaths only partially depict the global TB threat. This means more than 80% of TB patients are in the economically productive age group and this is the age between 15 and 42 years. In this communication, we report a case of MDR tuberculosis which highlights the role of clinical mycobacteriology laboratory in the management of such cases.

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