Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors
A 19-year-old woman originally from the Republic of the Marshall Islands presented with diffuse pneumonia and acute hypoxemic respiratory failure. She dies one month into her hospitalization but the diagnosis of pulmonary tuberculosis (TB) was not made until one day before her demise. A contact inve...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Journal of Clinical Tuberculosis and Other Mycobacterial Diseases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405579423000074 |
| _version_ | 1797837753913704448 |
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| author | Matthew Rockstrom Robert Lutz Katie Dickeson Erin V. O'Rorke Masahiro Narita Ofer Amram Edward D. Chan |
| author_facet | Matthew Rockstrom Robert Lutz Katie Dickeson Erin V. O'Rorke Masahiro Narita Ofer Amram Edward D. Chan |
| author_sort | Matthew Rockstrom |
| collection | DOAJ |
| description | A 19-year-old woman originally from the Republic of the Marshall Islands presented with diffuse pneumonia and acute hypoxemic respiratory failure. She dies one month into her hospitalization but the diagnosis of pulmonary tuberculosis (TB) was not made until one day before her demise. A contact investigation screened a total of 155 persons with 36 (23%) found to have latent TB infection and seven (4.5%) with active pulmonary TB. This unfortunate case provided the opportunity to analyze the epidemiology of TB in the state of Washington in the context of those who emigrated from the Marshall Islands. The development of fulminant pulmonary TB in this previously healthy young woman also provides a segue to discuss potential risk factors for TB in the index case that include: (i) foreign-born in a TB-endemic country; (ii) race and genetic factors; (iii) age; (iv) body habitus; (v) pregnancy; and (vi) use of glucocorticoids. |
| first_indexed | 2024-04-09T15:29:46Z |
| format | Article |
| id | doaj.art-13c3ac3413ba4115b100c7730717c4d1 |
| institution | Directory Open Access Journal |
| issn | 2405-5794 |
| language | English |
| last_indexed | 2024-04-09T15:29:46Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Clinical Tuberculosis and Other Mycobacterial Diseases |
| spelling | doaj.art-13c3ac3413ba4115b100c7730717c4d12023-04-28T08:55:52ZengElsevierJournal of Clinical Tuberculosis and Other Mycobacterial Diseases2405-57942023-05-0131100351Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factorsMatthew Rockstrom0Robert Lutz1Katie Dickeson2Erin V. O'Rorke3Masahiro Narita4Ofer Amram5Edward D. Chan6University of Colorado Anschutz Medical Campus, Aurora, CO, United StatesWashington State Department of Health, Tumwater, WA, United StatesSpokane Regional Health District, Spokane, WA, United StatesElson S. Floyd College of Medicine, Spokane, WA, United StatesPublic Health – Seattle & King County Public Health, and University of Washington, Seattle, WA, United StatesWashington State University, Pullman, WA, United StatesUniversity of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Academic Affairs, National Jewish Health, Denver, CO, United States; Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, United States; Corresponding author at: D509, Neustadt Building, National Jewish Health, 1400 Jackson St, Denver, CO 80206, United States.A 19-year-old woman originally from the Republic of the Marshall Islands presented with diffuse pneumonia and acute hypoxemic respiratory failure. She dies one month into her hospitalization but the diagnosis of pulmonary tuberculosis (TB) was not made until one day before her demise. A contact investigation screened a total of 155 persons with 36 (23%) found to have latent TB infection and seven (4.5%) with active pulmonary TB. This unfortunate case provided the opportunity to analyze the epidemiology of TB in the state of Washington in the context of those who emigrated from the Marshall Islands. The development of fulminant pulmonary TB in this previously healthy young woman also provides a segue to discuss potential risk factors for TB in the index case that include: (i) foreign-born in a TB-endemic country; (ii) race and genetic factors; (iii) age; (iv) body habitus; (v) pregnancy; and (vi) use of glucocorticoids.http://www.sciencedirect.com/science/article/pii/S2405579423000074 |
| spellingShingle | Matthew Rockstrom Robert Lutz Katie Dickeson Erin V. O'Rorke Masahiro Narita Ofer Amram Edward D. Chan Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors Journal of Clinical Tuberculosis and Other Mycobacterial Diseases |
| title | Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors |
| title_full | Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors |
| title_fullStr | Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors |
| title_full_unstemmed | Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors |
| title_short | Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors |
| title_sort | fulminant pulmonary tuberculosis in a previously healthy young woman from the marshall islands potential risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S2405579423000074 |
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