Pulmonary Tuberculosis Has Been in Medicine / Internal Medicine — 42yo Man | Infectious Diseases | SMLE Q#11079

SMLE Question #11079

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
A 42-year-old man with pulmonary tuberculosis has been taking standard first-line therapy for 3 months. Over the past 3 weeks, he developed progressive tingling and numbness in his fingertips and toes. He denies weakness, gait instability, and bowel or bladder symptoms, and has no history of diabetes. Examination shows reduced pinprick sensation in a symmetric stocking-glove distribution with normal strength and reflexes. Which medication is the most likely cause of his symptoms?

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