Investigation of sudden death from Mycobacterium tuberculosis in a foreign-born worker at a resort hotel

Grabau, John C.; Hughes, Stephen; Rodriguez, Edwin M.; Sommer, Jamie N.; Troy, Eleanor T.

doi:10.1016/j.hrtlng.2004.05.005

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…In such a case, diagnosis may require postmortem imaging and autopsy, which may delay tuberculosis infection control of contact persons and result in spread of infection. In contrast, when tuberculosis can be identified as the cause of death, actions to prevent secondary tuberculosis infection can be taken rapidly . In the present case, diagnosis was distracted by the possibility of traumatic bleeding from the nostrils based on an interview with a family member that the patient may have hit her face hard when she fell and that this may have caused bleeding; however, in retrospect, this trace was the only evidence supporting tuberculous bleeding in the airway.…”

Section: Discussionmentioning

confidence: 66%

Sudden Death from Cardiopulmonary Arrest on Arrival of a Patient with Pulmonary Tuberculosis: A Case Diagnosed by Postmortem CT and Autopsy

Yaguchi

Ichikawa

Inoue

et al. 2018

Journal of Forensic Sciences

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Sudden death due to massive hemoptysis during management of tuberculosis occurs in a considerable number of patients.However, when massive airway hemorrhage occurs in a patient in whom tuberculosis has not been confirmed and a blood is not apparent externally on the face/body, it is difficult to immediately identify the cause of death as airway obstruction by tuberculous bleeding in the airway. We encountered an 83-year-old Japanese woman with her medical history included treatment of tuberculosis in her 20s who was in cardiopulmonary arrest on arrival (CPAOA), and the cause of sudden death could not initially be identified. Postmortem CT (PMCT) and autopsy revealed that the cause of sudden death was airway obstruction/asphyxia by tuberculous massive airway hemorrhage. Identification of the cause of death facilitated a subsequent active contact investigation and led to prevention of secondary tuberculosis infection.

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Section: Discussionmentioning

confidence: 66%

Sudden Death from Cardiopulmonary Arrest on Arrival of a Patient with Pulmonary Tuberculosis: A Case Diagnosed by Postmortem CT and Autopsy

Yaguchi

Ichikawa

Inoue

et al. 2018

Journal of Forensic Sciences

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“…The case of a 60-year-old immigrant worker in New York who died suddenly is a good illustration of this. Investigation into the cause of his death revealed that he had been coughing for months before his death, and that PTB was the cause of his death; in addition, he had infected a good number of his coworkers 8. In another study of SD in suspicious circumstances in two young subjects, the cause of death at postmortem was found to be tuberculosis 9.…”

Section: Discussionmentioning

confidence: 99%

Communicable disease-related sudden death in the 21st century in Nigeria

Akinwusi

Komolafe

Olayemi³

et al. 2013

IDR

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BackgroundSome cases of sudden death (SD) have been attributed to communicable diseases (CD) in middle- and low-income countries of the world even in this 21st century. CDs produce clinical symptoms and signs over several days before culminating in death. They are also amenable to treatment with antimicrobials if affected persons present early. We sought to find out the incidence of CD-related SD at the Ladoke Akintola University of Technology Teaching Hospital (Osogbo, Osun State, Nigeria) – a tertiary health facility in southwest Nigeria – and the prevailing associated factors.MethodsWe conducted a retrospective study of CD-related SD in adult patients aged 18 years and older that occurred from January 2003 to December 2011. The Statistical Package for the Social Sciences version 16 was used for analysis of the generated data. Percentages and frequencies were calculated.ResultsThere were 17 (39.6%) CD-related SDs out of the 48 cases of SD studied. CD-related SD also accounted for 2.4% of all adult medical admissions. The mean age of the patients was 37.6 ± 11.6 years, age range of 25–62 years, mode of 25 years, and median 34 years. The male-to-female ratio was 1.8:1. Typhoid sepsis was responsible for SD in 47.1% of patients, pulmonary tuberculosis in 17.7% of patients, and lobar pneumonia in 17.7% of patients. The most affected age group was the 20–29-year-old group (41.2%), while the unskilled occupational group was the most affected occupational group with 35.3% of them having SD. Most of the patients with acute bacterial infection died of multiple organ failure.ConclusionThere is an urgent need to step up public health strategies to curtail infections in this environment, encourage better use of the existing health facilities by the people, and the government should strive hard to make health a top priority.

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“…A case of a 60-year-old man who died from TB with no previous history of TB is reported. 12 In another case a 25-year-old person died suddenly due to myocardial TB while playing soccer. 13 Pulmonary TB is treatable, but deaths due to its complications are on the rise due to its association with HIV infection and evolution of multi drug resistant tubercle bacilli strains.…”

Section: Discussionmentioning

confidence: 99%