1 / 22

TB Cases in Croydon

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

hunter-weiss
Download Presentation

TB Cases in Croydon

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TB Cases in Croydon

  2. 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

  3. Patient 1 – 23 y o mother • OE: • Low BMI • Chest clear, abdo soft • Urine DIP = +++ • Bloods: • CRP 152 • WCC 20 (neut 17)

  4. 28th Dec 2013

  5. December 2013

  6. January 2012 (!)

  7. CT guided biopsy

  8. Patient 1 – 23 y o mother • D/W Ortho • Neuro surgeons • Bed rest and brace • Start Treatment • Moved to Pakistan • ??F/U

  9. 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

  10. March 2013

  11. April 2014

  12. October 2013

  13. 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

  14. 31st March 2013

  15. Patient 3 – homeless immigrant • Bloods: • CRP 98 • Plt 6 • Lymph 0.5 • AFB in sputum +++ • DS: • Milliary TB • ITP

  16. Patient 3 – homeless immigrant • Severe malnutrition • Cardio-respiratory arrests x 2 • Very prolonged stay in hospital • Repatriated back to India

  17. Patient 3 – homeless immigrant 24 april 2013 30TH June 2013

  18. Patient 3 – homeless immigrant August 2013 November 2013

  19. Patient 3 – homeless immigrant March 2013 Jan 2014

  20. Patient 4 – Doctor • 34 yo • Doctor • Unwell, “something is not right” • Cough with strange sensation in the chest

  21. Patient 4 – Doctor June 2013 December 2014

More Related