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Streptomycin is a useful 'last resort' antibiotic. It is very strong and is usually given as part of a combination of drugs for treating Tuberculosis and other rare conditions such a brucellosis. It can be life saving, but it has to be used very carefully because the big worry with it is that it can cause impairment of hearing or deafness. Because of that, ideally a patient should have a hearing test before starting Streptomycin treatment, and at weekly intervals until it is safe to stop the treatment.

It is difficult because you might expect a patient to recover very well and live a good, long life after treatment, and streptomycin might be the only drug that is doing any good. But if the patient starts showing signs of hearing impairment, how long should you continue with the treatment? If I knew the answer to that, I'd tell you. Its a difficult issue.

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