His Medications But Stopped in Medicine / Internal Medicine — 40yo Man | Infectious Diseases | SMLE Q#11866

SMLE Question #11866

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
A 40-year-old man is receiving standard four-drug therapy for pulmonary tuberculosis. For the first 2 months, he also took a daily vitamin supplement with his medications but stopped it 3 weeks ago. Over the past week, he developed progressive tingling and numbness in his hands and feet and difficulty buttoning his shirt. Examination shows decreased pinprick and light-touch sensation in a stocking–glove distribution with normal strength and reflexes. Which antitubercular drug is most likely causing these symptoms?

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