Tuberculosis and Migration: A Challenge for Medical Staff and Public Health.

Griesshammer, Ines; Srivastava, David Shiva; Von Garnier, Christophe; Blaser, Till Silvan; Exadaktylos, Aristomenis; Steib, Moritz (2016). Tuberculosis and Migration: A Challenge for Medical Staff and Public Health. Case reports in emergency medicine, 2016, p. 8186036. Hindawi Publishing Corporation 10.1155/2016/8186036

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology

UniBE Contributor:

Srivastava, David Shiva; Von Garnier, Christophe and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-648X

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Rahel Holderegger

Date Deposited:

23 Mar 2017 11:20

Last Modified:

20 Jun 2017 14:06

Publisher DOI:

10.1155/2016/8186036

PubMed ID:

27965902

BORIS DOI:

10.7892/boris.93087

URI:

https://boris.unibe.ch/id/eprint/93087

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