UNUSUAL DETECTION OF TUBERCULOSIS IN A WOMAN WITH DOWN’S SYNDROME
Pešut DP,1,2* Raljević S,2 Slijepčević Tomić Lj2,3
*Corresponding Author: Dragica P. Pešut, M.D., Ph.D., School of Medicine University of Belgrade, Clinical Centre of Serbia, Institute of Lung Disease and Tuberculosis, Research and Epidemiology Department, 11000 Belgrade, Visegradska 26, Serbia; Tel.: +381-11-3615561; Fax: +381-11-2681591; E-mail: dragica.pesut@ gmail.com
page: 61
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Abstract

A woman with Down’s syndrome (DS) had subfebrile temperature, nodular/patchy shadows on the chest X-ray over the right pulmonary base, and a history of recurrent respiratory infections. She was pale, asthenic, uncommunicative, mildly anemic and the erythrocyte sedimentation rate was 80/first hour. The tuberculin skin test (TST) PPD3 was negative. Mycobacterium tuberculosis was isolated from oral mucosal brushing, sensitive to the first line anti-tuberculosis drugs. Patients with DS and other mental disabilities need special care and attention during diagnostic procedures for tuberculosis (TB).

Key words: Diagnosis, Down’s syndrome (DS), Tri somy 21, Tuberculosis (TB).




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