RESUMO
INTRODUCTION: The number of tuberculosis cases in Finland has decreased. Cases among immigrants have, however, increased, and the disease may not be recognized early enough. METHODS: We describe four group exposures to tuberculosis that occurred in Finland, the index patient coming from a country with a high incidence rate of tuberculosis. RESULTS: Over 900 persons were exposed to tuberculosis. Coordination of the surveys was hampered by the fact that several healthcare operators participated in the study. Three index patients had drug-resistant tuberculosis, one of which was multidrug resistant. CONCLUSIONS: Extensive operations of tracking and prevention could have been avoided, if the symptoms would have been recognized earlier.
Assuntos
Surtos de Doenças/prevenção & controle , Tuberculose/epidemiologia , Tuberculose/transmissão , Emigrantes e Imigrantes , Finlândia/epidemiologia , Inquéritos Epidemiológicos , Humanos , Incidência , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/transmissãoRESUMO
We describe an immunocompromised patient with disseminated Legionella pneumophila infection. A chronic leg ulcer was probably the port of entry for the infection. Treatment required several operations and prolonged antimicrobial treatment. To our knowledge, this is the first case report of Legionella soft tissue infection and pneumonia treated with tigecycline.
Assuntos
Antibacterianos/uso terapêutico , Legionella pneumophila/isolamento & purificação , Doença dos Legionários/diagnóstico , Doença dos Legionários/tratamento farmacológico , Minociclina/análogos & derivados , Humanos , Hospedeiro Imunocomprometido , Úlcera da Perna/complicações , Doença dos Legionários/patologia , Doença dos Legionários/cirurgia , Masculino , Pessoa de Meia-Idade , Minociclina/uso terapêutico , Pneumonia/tratamento farmacológico , Pneumonia/microbiologia , Pneumonia/cirurgia , Infecções dos Tecidos Moles/tratamento farmacológico , Infecções dos Tecidos Moles/microbiologia , Infecções dos Tecidos Moles/cirurgia , TigeciclinaRESUMO
Administration of the BCG vaccine to all newborns was discontinued in Finland by the end of August 2006. Since then the vaccination has been given targetedly to children having an increased risk of contracting tuberculosis. We describe a child of six months and Finnish origin with diagnosed pulmonary tuberculosis. The child did not belong to any risk group and thus did not receive BCG vaccination as a newborn. Extensive investigations failed to reveal the source of infection.
