Does miliary tuberculosis have a cure? How is the treatment?

Expert answer:

Yes, miliary tuberculosis has a cure, but it is very important to start treatment as soon as possible, otherwise the disease can be fatal. Treatment of miliary tuberculosis may even be started before a definitive diagnosis is made, since the mortality rate is high without an early treatment.

Treatment of miliary tuberculosis follows the same pattern of pulmonary tuberculosis with 4 drugs antibiotics: rifampicin, isoniazid, pyrazinamide and ethambutol.

The first phase of treatment lasts for 2 months and may include all medications or only rifampicin, isoniazid and pyrazinamide. The second phase of treatment lasts 4 months and includes only rifampicin and isoniazid. All medications are taken by mouth.

Patients who have never received any treatment for tuberculosis or who have discontinued treatment in less than 30 days are treated with scheme 1:

⇒ 1st phase (2 months): Rifampicin + Isoniazid + Pyrazinamide.

⇒ 2nd phase (4 months): Rifampicin + Isoniazid.

Patients who return to tuberculosis after being cured with regimen 1 or who abandoned treatment after taking the medications for more than 30 days are treated with reinforced scheme 1 (1R):

⇒ 1st phase (2 months): Rifampicin + Isoniazid + Pyrazinamide + Etambutol.

⇒ 2nd phase (4 months): Rifampicin + Isoniazid + Etambutol.

Depending on the severity of the case or if there is no response to schedules 1 and 1R, treatment of miliary tuberculosis may be prolonged with other drug combinations.

Recalling that the treatment of tuberculosis is available free of charge by the Unified Health System (SUS).

Learn more at:

Is miliary tuberculosis contagious? How is it transmitted?

What is miliary tuberculosis? What are the symptoms?

Is Tuberculosis Cure? What is the treatment?