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diseases” versus “physical proximity to others.” Historically, professionals in dentistry have been vulnerable to a number of infectious diseases, including hepatitis B (HBV), hepatitis C, herpes simplex virus, Epstein-Barr–derived infectious mononucleosis, tuberculosis (TB), cytomegalovirus, rubella, gonorrhea, syphilis, influenza, and HIV. 4 Dental literature from 1989 5 cited 14% of general dentists and “nearly twice that number of oral and maxillofacial surgeons” testing positive for viral HBV markers. Accordingly, the American Dental Association (ADA) developed

: 1353 – 1358 . 9.  Kang Y, Ni J, Wu L. Dexmedetomidine sedation combined with epidural anesthesia for laparoscopy in a patient with suspected tuberculosis: a case report . Medicine . 2018 ; 97 : e12144 . 10.  Jaakola

, hypercholesterolemia, anemia, latent tuberculosis, hypothyroidism, secondary hyperparathyroidism, insomnia, and glaucoma. The patient's current medication list is available in Table 1 . Adverse drug reactions were reported to several medications during her initial screening appointment. These included “Novocain” resulting in dyspnea after injection, morphine with hallucinogenic symptoms, penicillin resulting in urticaria, and lisinopril precipitating a dry cough. Table 1. Patient Medication List* Upon

tuberculosis. Gentamicin and tobramycin are used most commonly and are the primary agents used to treat infections caused by gram-negative rods, most notably Pseudomonas species. Although most antibiotics that inhibit protein synthesis are bacteriostatic, the aminoglycosides are frequently bactericidal. The newer generations of beta lactam antibiotics are also active against Pseudomonas species, but they are far more expensive. The major drawback of the aminoglycosides is their toxicity. This includes nephrotoxicity and ototoxicity. Nephrotoxicity is fairly