Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker
| Autor: | Ljiljana Bulat-Kardum, Veljko Flego, Dubravka Matanić Lender |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis Fibrothorax Health Personnel medicine.medical_treatment Tuberculin Toxicology Pericardial effusion Pericardial Effusion antituberculotics disseminated tuberculosis extrapulmonary tuberculosis nosocomial disease occupational disease tuberculous pericarditis Pericarditis Latent Tuberculosis Internal medicine medicine Humans business.industry Tuberculous pericarditis Public Health Environmental and Occupational Health medicine.disease Surgery Occupational Diseases Treatment Outcome Effusion Pericardiocentesis business |
| Zdroj: | Archives of Industrial Hygiene and Toxicology. 65:417-422 |
| ISSN: | 0004-1254 |
| Popis: | Tuberculosis (TB) is an infectious disease and, apart from protecting patients, attention must be given to protecting the persons who come in contact with them, especially nurses and medical practitioners. A 43-yearold immunocompetent male nurse developed occupationally disseminated TB after contact with patients affected by active TB (culture positive) while working in a psychiatric hospital. The first manifestation of the disease was exudative pericarditis with Mycobacterium tuberculosis (MT) confirmed two months after pericardiocentesis and evacuation of 1200 mL of pericardial effusion. Many lymph nodes showed histologic findings of granulomatous inflammation with necrosis. Treatment with antituberculosis drugs caused complications, including transient short-term medication-induced toxic hepatitis, prolonged fever, left pleural nonspecific effusion, and mononeuritis of the right peroneus nerve. The treatment lasted 14 months and led to permanent consequences, including fibrothorax with restrictive ventilation disorders and reduced diffusion of the alveolar-capillary membrane. This case highlights the need to improve the protection of health care workers who are in contact with TB patients, as well as the usefulness of the tuberculin skin test and QuantiFERON-TB test, which can be used to identify early latent TB |
| Databáze: | OpenAIRE |
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