TB Cases in Croydon.  23 yo woman  28/12/13  AE:  Back pain  Increased frequency  Smelly dark urine  No PMX  Back pains for 2 years  Seen by.

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Presentation transcript:

TB Cases in Croydon

 23 yo woman  28/12/13  AE:  Back pain  Increased frequency  Smelly dark urine  No PMX  Back pains for 2 years  Seen by GP 3 months ago - ? Renal stones  Seen by a different GP in Dec 2013 ▪ Spine Xrays done  SHx  From Pakistan, Married, one child 16 months old  Never smoked/ no alcohol  Fx  Mother TB

 OE:  Low BMI  Chest clear, abdo soft  Urine DIP = +++  Bloods:  CRP 152  WCC 20 (neut 17)

 D/W Ortho  Neuro surgeons  Bed rest and brace  Start Treatment  Moved to Pakistan  ??F/U

 Unwell with cough for a while  No CXR till admitted to hospital  Kept in an open bay  Screening for Pts and staff

 42 y0  Collapsed on a street  No English  2/12 Hx of cough and weight loss  From India, In UK since 2008  Homeless/Currently living with ? friends  Odd work - Painter/decorator  ? illegally living in UK 

 Bloods:  CRP 98  Plt 6  Lymph 0.5  AFB in sputum +++  DS:  Milliary TB  ITP

 Severe malnutrition  Cardio-respiratory arrests x 2  Very prolonged stay in hospital  Repatriated back to India

24 APRIL TH JUNE 2013

AUGUST 2013NOVEMBER 2013

MARCH 2013JAN 2014

 34 yo  Doctor  Unwell, “something is not right”  Cough with strange sensation in the chest

JUNE 2013DECEMBER 2014