Anti-tubercular treatment in patients with hepatitis

J Assoc Physicians India. 1991 Aug;39(8):599-601.

Abstract

Sixty seven patients with coexistent tuberculosis and hepatitis were given a 3 drug regimen of streptomycin (SM), isonicotinic acid hydrazide (INH) and ethambutol (ETB) and observed for a period of 15 days. Total bilirubin as well as SGPT were repeated weekly and these showed a significant drop in a majority of patients when observed over this period. No patient developed any signs of fulminant hepatic failure. We conclude that a regimen of SM, INH and ETB can be given to patients who suffer from combined pathologies of pulmonary tuberculosis and active hepatitis without incurring the danger of increasing hepatocellular dysfunction/damage.

MeSH terms

  • Alanine Transaminase / blood
  • Bilirubin / blood
  • Drug Therapy, Combination
  • Ethambutol / therapeutic use*
  • Hepatitis, Viral, Human / blood
  • Hepatitis, Viral, Human / complications*
  • Humans
  • Isoniazid / therapeutic use*
  • Streptomycin / therapeutic use*
  • Tuberculosis, Pulmonary / blood
  • Tuberculosis, Pulmonary / complications*
  • Tuberculosis, Pulmonary / drug therapy*

Substances

  • Ethambutol
  • Alanine Transaminase
  • Bilirubin
  • Isoniazid
  • Streptomycin