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TB Cases in Croydon. Patient 1 – 23 y o mother. 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 - PowerPoint PPT Presentation
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TB Cases in Croydon
Patient 1 – 23 y o mother
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
Patient 1 – 23 y o mother
OE: Low BMI Chest clear, abdo soft Urine DIP = +++
Bloods: CRP 152 WCC 20 (neut 17)
28th Dec 2013
December 2013
January 2012 (!)
CT guided biopsy
Patient 1 – 23 y o mother
D/W Ortho
Neuro surgeons Bed rest and brace
Start Treatment
Moved to Pakistan ??F/U
Patient 2 – 27 yo Indian woman
Unwell with cough for a while
No CXR till admitted to hospital
Kept in an open bay
Screening for Pts and staff
March 2013
April 2014
October 2013
Patient 3 - homeless immigrant 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
31st March 2013
Patient 3 – homeless immigrant Bloods: CRP 98 Plt 6 Lymph 0.5
AFB in sputum +++
DS: Milliary TB ITP
Patient 3 – homeless immigrant
Severe malnutrition Cardio-respiratory arrests x 2 Very prolonged stay in hospital Repatriated back to India
Patient 3 – homeless immigrant
24 APRIL 2013 30TH JUNE 2013
Patient 3 – homeless immigrant
AUGUST 2013 NOVEMBER 2013
Patient 3 – homeless immigrant
MARCH 2013 JAN 2014
Patient 4 – Doctor
34 yo Doctor Unwell, “something is not right”
Cough with strange sensation in the chest
Patient 4 – Doctor
JUNE 2013 DECEMBER 2014
