PULMONARY TUBERCULOSIS CASE SCENARIO Mr. Romeo Lee 28, year old male presented to the TB center with the symptoms of, chest pain, progressive shortness of breath and cough with greenish sputum production, thin looking and weak in appearance, upon auscultation rales is heard on both lungs, chest x-ray was done result revealed lung infiltration. His sputum test result showed that he had atypical TB (Mycobacterium Avium complex MAC infection). He was HIV negative at this time. Past history revealed that he was in good health till February 2020 when he was diagnosed to have active typical tuberculosis (TB) and treated successfully with the regular TB drugs at that time. As he showed clinical signs of disease, He was prescribed other antibiotics specific for this infection. It was recommended that he take these medicines for at least a year with regular medical follow up. Due to cost of the medications and personal financial constraints, he was not compliant with his medications and took intermittently. He complained of subjective fever of 39 degrees centigrade, night sweats, weight loss, from 70kgs down to 60 Kgs, shortness of breath on exertion and chest pain and had hemopthysis once. During his follow up, although he periodically sought medical attention due to persistent symptoms, his treatment regimen was unsatisfactory, due to noncompliance of the treatment regimen and unavailability issues. The chest X- ray revealed far advance PTB (he himself described his condition as being eaten inside) attempts to obtain medications from various social service sources successful and when he took the medication prescribed.
PULMONARY TUBERCULOSIS CASE SCENARIO Mr. Romeo Lee 28, year old male presented to the TB center with the symptoms of, chest pain, progressive shortness of breath and cough with greenish sputum production, thin looking and weak in appearance, upon auscultation rales is heard on both lungs, chest x-ray was done result revealed lung infiltration. His sputum test result showed that he had atypical TB (Mycobacterium Avium complex MAC infection). He was HIV negative at this time. Past history revealed that he was in good health till February 2020 when he was diagnosed to have active typical tuberculosis (TB) and treated successfully with the regular TB drugs at that time. As he showed clinical signs of disease, He was prescribed other antibiotics specific for this infection. It was recommended that he take these medicines for at least a year with regular medical follow up. Due to cost of the medications and personal financial constraints, he was not compliant with his medications and took intermittently. He complained of subjective fever of 39 degrees centigrade, night sweats, weight loss, from 70kgs down to 60 Kgs, shortness of breath on exertion and chest pain and had hemopthysis once. During his follow up, although he periodically sought medical attention due to persistent symptoms, his treatment regimen was unsatisfactory, due to noncompliance of the treatment regimen and unavailability issues. The chest X- ray revealed far advance PTB (he himself described his condition as being eaten inside) attempts to obtain medications from various social service sources successful and when he took the medication prescribed.
Microbiology for Surgical Technologists (MindTap Course List)
2nd Edition
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Margaret Rodriguez, Paul Price
Chapter22: Emerging, Recurring, And Reappearing Diseases
Section: Chapter Questions
Problem 2UTM
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PULMONARY TUBERCULOSIS
CASE SCENARIO
Mr. Romeo Lee 28, year old male presented to the TB center with the symptoms
of, chest pain, progressive shortness of breath and cough with greenish sputum
production, thin looking and weak in appearance, upon auscultation rales is
heard on both lungs, chest x-ray was done result revealed lung infiltration.
His sputum test result showed that he had atypical TB (Mycobacterium Avium
complex MAC infection). He was HIV negative at this time. Past history
revealed that he was in good health till February 2020 when he was diagnosed
to have active typical tuberculosis (TB) and treated successfully with the regular
TB drugs at that time.
As he showed clinical signs of disease, He was prescribed other antibiotics
specific for this infection. It was recommended that he take these medicines
for at least a year with regular medical follow up. Due to cost of the
medications and personal financial constraints, he was not compliant with
his medications and took intermittently.
He complained of subjective fever of 39 degrees centigrade, night sweats,
weight loss, from 70kgs down to 60 Kgs, shortness of breath on exertion
and chest pain and had hemopthysis once. During his follow up, although he
periodically sought medical attention due to persistent symptoms, his
treatment regimen was unsatisfactory, due to noncompliance of the
treatment regimen and unavailability issues.
The chest X- ray revealed far advance PTB (he himself described his condition
as being eaten inside) attempts to obtain medications from various social
service sources successful and when he took the medication prescribed.
Patient develop Pleural Effusion , which needs Close Thoraotomy Tube insertion and
insetion done aseptically
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