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https://doi.org/10.2478/10004-1254-65-2014-2548

Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker

Veljko Flego   ORCID icon orcid.org/0000-0002-6333-9883 ; Department of Pulmonology, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Dubravka Matanić Lender ; Department of Pulmonology, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Ljiljana Bulat-Kardum ; Department of Pulmonology, Clinical Hospital Centre Rijeka, Rijeka, Croatia

Puni tekst: engleski, pdf (2 MB) str. 417-421 preuzimanja: 636* citiraj
APA 6th Edition
Flego, V., Matanić Lender, D. i Bulat-Kardum, Lj. (2014). Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker. Arhiv za higijenu rada i toksikologiju, 65 (4), 417-421. https://doi.org/10.2478/10004-1254-65-2014-2548
MLA 8th Edition
Flego, Veljko, et al. "Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker." Arhiv za higijenu rada i toksikologiju, vol. 65, br. 4, 2014, str. 417-421. https://doi.org/10.2478/10004-1254-65-2014-2548. Citirano 27.02.2021.
Chicago 17th Edition
Flego, Veljko, Dubravka Matanić Lender i Ljiljana Bulat-Kardum. "Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker." Arhiv za higijenu rada i toksikologiju 65, br. 4 (2014): 417-421. https://doi.org/10.2478/10004-1254-65-2014-2548
Harvard
Flego, V., Matanić Lender, D., i Bulat-Kardum, Lj. (2014). 'Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker', Arhiv za higijenu rada i toksikologiju, 65(4), str. 417-421. https://doi.org/10.2478/10004-1254-65-2014-2548
Vancouver
Flego V, Matanić Lender D, Bulat-Kardum Lj. Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker. Arh Hig Rada Toksikol. [Internet]. 2014 [pristupljeno 27.02.2021.];65(4):417-421. https://doi.org/10.2478/10004-1254-65-2014-2548
IEEE
V. Flego, D. Matanić Lender i Lj. Bulat-Kardum, "Pericardial effusion as the first manifestation of occupational tuberculosis in a health care worker", Arhiv za higijenu rada i toksikologiju, vol.65, br. 4, str. 417-421, 2014. [Online]. https://doi.org/10.2478/10004-1254-65-2014-2548

Sažetak
Tuberculosis (TB) is an infectious disease and, apart from protecting patients, attention must be given to protecting the persons who come in contact with them, especially nurses and medical practitioners. A 43-year-old immunocompetent male nurse developed occupationally disseminated TB after contact with patients affected by active TB (culture positive) while working in a psychiatric hospital. The first manifestation of the disease was exudative pericarditis with Mycobacterium tuberculosis (MT) confirmed two months after pericardiocentesis and evacuation of 1200 mL of pericardial effusion. Many lymph nodes showed histologic findings of granulomatous inflammation with necrosis. Treatment with antituberculosis drugs caused complications, including transient short-term medication-induced toxic hepatitis, prolonged fever, left pleural nonspecific effusion, and mononeuritis of the right peroneus nerve. The treatment lasted 14 months and led to permanent consequences, including fibrothorax with restrictive ventilation disorders and reduced diffusion of the alveolar-capillary membrane. This case highlights the need to improve the protection of health care workers who are in contact with TB patients, as well as the usefulness of the tuberculin skin test and QuantiFERON-TB test, which can be used to identify early latent TB.

Ključne riječi
antituberculotics; disseminated tuberculosis; extrapulmonary tuberculosis; nosocomial disease; occupational disease; tuberculous pericarditis

Hrčak ID: 130354

URI
https://hrcak.srce.hr/130354

[hrvatski]

Posjeta: 1.343 *