tuberculosis and migration: a challenge for medical staff and public health

Clicks: 141
ID: 208843
2016
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Abstract
A high number of asylum seekers enter Switzerland every year. They often originate from countries with a high TB prevalence. Our patient from Somalia presented with 2 lipoma-like tumors with pain on palpation on his left chest wall but no symptoms including coughing, fever, night-sweats, or loss of weight. CT scan then showed diffuse infiltrations of his lung and multiple abscesses on his left chest wall. Therefore contagious tuberculosis (TB) was suspected and the patient was put in isolation. In the follow-up the diagnosis of open TB was proofed with bronchial secretion and EBUS-guided biopsy that showed acid-fast rods. This particular case shows how difficult the identification of patients with open TB can be, especially if there are no respiratory or systemic symptoms. Therefore awareness of possible infectious disease is paramount for ED Doctors treating patients from countries with high prevalence. Early and strict isolation measures can help to reduce risk of contagion among staff and patients.
Reference Key
griesshammer2016casetuberculosis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ines Griesshammer;David Shiva Srivastava;Christophe von Garnier;Till Silvan Blaser;Aris Exadaktylos;Moritz Steib
Journal Ecology letters
Year 2016
DOI
10.1155/2016/8186036
URL
http://dx.doi.org/10.1155/2016/8186036
Keywords
critical care first aid intensive care medical emergencies

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