Pneumologie
Volume 71, Issue 5, 2017, Pages 293-296

A Young Asylum Seeker with Hemoptysis and Positive Tuberculosis Screening: Not Always Tuberculosis! [Hämoptysen bei einem jungen Asylbewerber mit positivem Tuberkulose-Screening: Nicht immer Tuberkulose!] (Article)

Stevens T. , Schwarz S.B. , Magnet F.S. , Windisch W.*
  • a Chefarzt der Lungenklinik, Kliniken der Stadt Köln GGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Ostmerheimer Strae 200, Köln, 51109, Germany
  • b Chefarzt der Lungenklinik, Kliniken der Stadt Köln GGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Ostmerheimer Strae 200, Köln, 51109, Germany
  • c Chefarzt der Lungenklinik, Kliniken der Stadt Köln GGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Ostmerheimer Strae 200, Köln, 51109, Germany
  • d Chefarzt der Lungenklinik, Kliniken der Stadt Köln GGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Ostmerheimer Strae 200, Köln, 51109, Germany

Abstract

This paper reports on the case of a 19 year old asylum seeker from Eritrea who presented with hemoptysis, a positive tuberculosis screening (Enzyme Linked Immuno Spot Assay-EliSpot) and mushy faeces submitted with a suspected diagnosis of tuberculosis. Laboratory testing revealed thrombopenia, leukopenia and eosinophilia, while the chest X-ray was inconspicuous. Acid-proof rod bacteria were neither evident in bronchoscopy samples nor in expectorated sputum samples. However, sonographic findings showed a profound splenomegaly, and laboratory testing revealed a Schistosoma mansoni infection. This case demonstrates that in asylum seekers with suspected tuberculosis endemic diseases of the home country need to be considered as alternative diagnoses. © Georg Thieme Verlag KG Stuttgart.New York.

Author Keywords

[No Keywords available]

Index Keywords

differential diagnosis Eosinophilia Diagnosis, Differential Eritrea refugee mass screening False Positive Reactions complication human Refugees splenomegaly priority journal Animals screening test procedures animal leukopenia asylum seeker Young Adult diagnostic imaging laboratory test Sputum human tissue Humans male case report Schistosoma mansoni sputum analysis tuberculosis schistosomiasis mansoni false positive result echography prevention and control Article adult enzyme linked immunospot assay thorax radiography endemic disease microbiology medical history diagnostic error bronchoscopy hemoptysis Diagnostic Errors thrombocytopenia
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016616864&doi=10.1055%2fs-0042-122540&partnerID=40&md5=d8bb2e752b3bb0a826246d212c104129
DOI: 10.1055/s-0042-122540
ISSN: 09348387
Original Language: German