This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Mycobacterial Diseases (TB, Leprosy and MAC), Subject name: Pharmacology
Coicosteroids are absolutely contraindicated in the following type of tuberculosis: 
Select and explain. 
A. Miliary, B. Meningeal, C. Intestinal, D. Renal
C: Intestinal
Answer: C: Intestinal 
Explanation: Coicosteroids are contraindicated in intestinal tuberculosis because silent perforation can occur. However, they may be used under adequate chemotherapeutic cover: In seriously ill patients (miliary TB or severe pulmonary TB) to buy time for drugs to act. When hypersensitivity reactions occur to antitubercular drugs. ln meningeal/renal/pericardial TB or pleural effusion-to reduce exudation, prevent its organisation and strictures, etc. In AIDS patients with severe manifestations of tuberculosis. Coicosteroids, if given, should be gradually withdrawn when the general condition of the patient improves.