Patients in whom TB was not diagnosed as a result of their A&E attendance (12 attendances in 10 patients)
Patient | Ethnic group | Age (years) | Risk factor for TB | Admitted to hospital | Site of TB | Microbiologically confirmed diagnosis | Time from A&E attendance to diagnosis of TB (days) | Reason for presentation to A&E |
---|---|---|---|---|---|---|---|---|
*HIV infection only diagnosed after admission to hospital. MRSA, methicillin resistant Staphylococcus aureus; HIV+, infected with human immunodeficiency virus; LRTI, lower respiratory tract infection; MDR, multidrug resistant. | ||||||||
1a | White | 65 | HIV+ | Yes | Pleural | No | 178 | Dyspnoea, ankle oedema |
1b | Yes | 155 | Dyspnoea, ankle oedema | |||||
2 | Asian | 53 | Dialysis | Yes | Pleural | No | 122 | Sepsis, MRSA bacteraemia |
3 | Black African | 25 | HIV+* | Yes | Meningitis | No | 45 | Headache, malaise, right iliac fossa pain, |
4a | Asian | 59 | No | Yes | Pulmonary | Smear positive, sensitive | 126 | Dyspnoea, bronchiectasis |
4b | No | Pulmonary | Smear positive, sensitive | 134 | Power failure at home | |||
5 | Asian | 3 | No | No | Pulmonary | No | 166 | Mouth ulcers |
6 | Asian | 24 | No | No | Pulmonary | Smear positive, sensitive | 100 | Malaise, weight loss |
7 | Asian | 16 | No | No | Pulmonary | Smear positive, MDR | 2 | Haemoptysis |
8 | Black African | 30 | No | No | Pulmonary | Smear negative, sensitive | 184 | Cough, diagnosed as LRTI |
9 | Black African | 22 | No | No | Pulmonary | No | 12 | Foreign body in ear |
10 | Asian | 40 | No | No | Pulmonary and psoas abscess | No | 82 | Cough |