[A Young Asylum Seeker with Hemoptysis and Positive Tuberculosis Screening: Not Always Tuberculosis!] / Hämoptysen bei einem jungen Asylbewerber mit positivem Tuberkulose-Screening: Nicht immer Tuberkulose!
Pneumologie
; 71(5): 293-296, 2017 May.
Article
in De
| MEDLINE
| ID: mdl-28346957
ABSTRACT
This paper reports on the case of a 19 year old asylum seeker from Eritrea who presented with hemoptysis, a positive tuberculosis screening (Enzyme Linked Immuno Spot Assayâ-âEliSpot) and mushy faeces submitted with a suspected diagnosis of tuberculosis. Laboratory testing revealed thrombopenia, leukopenia and eosinophilia, while the chest X-ray was inconspicuous. Acid-proof rod bacteria were neither evident in bronchoscopy samples nor in expectorated sputum samples. However, sonographic findings showed a profound splenomegaly, and laboratory testing revealed a Schistosoma mansoni infection. This case demonstrates that in asylum seekers with suspected tuberculosis endemic diseases of the home country need to be considered as alternative diagnoses.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Refugees
/
Tuberculosis
/
Schistosomiasis mansoni
/
Diagnostic Errors
/
Hemoptysis
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Screening_studies
Limits:
Adult
/
Animals
/
Humans
/
Male
Language:
De
Journal:
Pneumologie
Year:
2017
Type:
Article