Delayed diagnosis of severe tuberculous spondylodiscitis in an asylum seeker; patient or doctors delay?

Kristina Langholz Kristensen; Daria Podlekareva; Pernille Ravn

doi:10.1016/j.rmcr.2017.04.021

Delayed diagnosis of severe tuberculous spondylodiscitis in an asylum seeker; patient or doctors delay?

Respir Med Case Rep. 2017 May 2:21:145-146. doi: 10.1016/j.rmcr.2017.04.021. eCollection 2017.

Authors

Kristina Langholz Kristensen¹, Daria Podlekareva^{1

2}, Pernille Ravn¹

Affiliations

¹ Department of Pulmonary and Infectious Diseases, Nordsjællands Hospital, Dyrehavevej 29, 3400 Hilleroed, Denmark.
² Department of Infectious Diseases and Rheumatology, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Abstract

The still increasing global migration affects the epidemiology of tuberculosis (TB) in European countries. We present the case of an asylum seeker from a TB high-endemic country, who presented with severe TB spondylodiscitis and need for emergency surgery. The patient had a history of recurrent sterile axillary and perianal abscesses for years, but TB was never properly ruled out. The patient underwent surgery, responded well to antibiotics and regained the ability to walk. After 6 month of treatment the patient was lost to follow-up. In light of the increasing migration from TB high-endemic countries to low-endemic countries, this case illustrates the paramount importance of minding TB as a differential diagnosis.

Keywords: Extrapulmonal; Immigrant; Refugees; Tuberculosis.

Publication types

Case Reports