Presentation & DiagnosisPatients presenting with active Tuberculosis (TB) could exhibit the following signs and symp-toms: cough, fever, fatigue, decreased appetite, night sweats, and weight loss. It is important tonote that some patients can have no symptoms but have positive cultures. This is called sub-clinical TB (Pai et al., 2016).Objective findings of tuberculosis can include the following: rales or bronchial breath sounds may be auscultated, swollen lymph nodes, an abnormal chest x-ray, abnormal chest CT, posi-tive sputum smear microscopy. A positive TB chest x-ray will show a cavity surrounded by infil-trates or consolidation (Pai et al., 2016). A nucleic acid amplification test will help confirm the diagnosis of TB and provide drug-resistant and sensitivity information. The World Health Organization (WHO) recognizes a new first-line diagnostic took called Xpert MDR/XDR-TB. This test only takes two hours and provides specificresults about the infection. Xpert MDR/XDR-TB can detect mycobacterium tuberculosis com-plex (MTBC) and if this train is resistant to rifampin (RIF) (Pai et al., 2016).