A 30-year-old man recently migrated from a country with high tuberculosis prevalence is found to have a positive interferon-gamma release assay but no...

Question

A 30-year-old man recently migrated from a country with high tuberculosis prevalence is found to have a positive interferon-gamma release assay but normal chest X-ray and no symptoms. What is the most appropriate management?

Accepted Answer

Offer treatment for latent TB infection after excluding active disease

Answer

Reassure and discharge with no follow-up

Answer

Start full four-drug active TB therapy

Answer

Advise periodic chest X-ray only if symptoms develop

Answer

Arrange urgent bronchoscopy

au-racp MCQ (SBA): Latent tuberculosis management

A 30-year-old man recently migrated from a country with high tuberculosis prevalence is found to have a positive interferon-gamma release assay but normal chest X-ray and no symptoms. What is the most appropriate management?