Family Medicine, University of Virginia Health System, Charlottesville, Virginia, USA
Family Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
BMJ Case Rep. 2022 May 11;15(5):e247562. doi: 10.1136/bcr-2021-247562.
Though the COVID-19 pandemic has made international headlines since 2020, behind the scenes, tuberculosis (TB) has remained a leading cause of global mortality. According to the WHO, TB is 1 of the top 10 causes of death globally, with about one-quarter of the world's population infected. This case report highlights a female patient who presented to the emergency department with signs and symptoms of COVID-19 and was admitted to hospital. When the patient demonstrated minimal clinical improvement after initiating treatment for COVID-19, further investigations uncovered concomitant reactivated TB. This case is helpful in underscoring the potential implications of the COVID-19 pandemic and current treatment guidelines on the global burden of TB, which could subsequently impact how practitioners approach screening and management of latent TB infection.
尽管 2020 年以来,COVID-19 疫情一直占据国际头条,但在幕后,结核病(TB)仍然是全球死亡的主要原因之一。根据世界卫生组织的数据,结核病是全球十大死因之一,全球约有四分之一的人口感染。本病例报告重点介绍了一位女性患者,她因 COVID-19 的症状和体征到急诊就诊,并住院治疗。当患者在开始 COVID-19 治疗后表现出最小的临床改善时,进一步的调查发现同时发生了复发性结核病。本病例有助于强调 COVID-19 大流行和当前治疗指南对全球结核病负担的潜在影响,这可能会影响临床医生如何进行潜伏性结核病感染的筛查和管理。