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Jose Rodriguez is a 35-year-old Hispanic man who presents to the Emergency Depar

ID: 241453 • Letter: J

Question

Jose Rodriguez is a 35-year-old Hispanic man who presents to the Emergency Department at the county hospital Chicago, llinois, with a 3- 4 week history of a productive cough, which was originally productive of yellow sputum b is now accompanied by the presence of blood in the sputum for the past 3 days. Along with the cough, the patient al complains of subjective fevers, chills, night sweats, dyspnea, pleuritic chest pain, fatigue, and an unintentional 10- weight loss over the past several weeks. The patient moved to the United States from Mexico 4 years ago and has n recently traveled. TST and blood test is positive for TB. A subsequent chest X-ray indicates progressive primary TB. 6. What symptoms and laboratory results are associated with TB? Productive cough with hemoptysis for the past few days. The subjective fevers, chills, night sweats, dyspne pleuritic chest pain, fatigue, and an unintentional 10-lb weight loss over the past several weeks. 7. Briefly explain Latent TB

Explanation / Answer

Latent TB

Latent tuberculosis refers to a state where the person is indected with mycobacterium tuberculi but the disease is not in active stage. It means the person do not exhibit any symptoms of TB. Latent TB is not contagious. These patients are at a risk to develop active TB at some point in life.

Diagnostic tests include tuberculin skin test andIFN gamma test.

The treatment include anti- TB drugs that include isoniazide, rifampicin, pyrazinamide.

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