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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

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TB Cases in Croydon

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  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

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