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TB Case Discussion

Listen Live and Participate* in the next session from your computer! 

Click HERE for On-Demand version from Wed., May 17, 2017.

Issues and Challenges in the Clinical Management of Tuberculosis: Case-Conference

Dr. Maunank Shah, JHU Host of TB Case ConferencesThis conference, hosted by Johns Hopkins Dr. Maunank Shah (pictured right),  is designed to bring together clinicians caring for individuals with Active Tuberculosis to discuss diagnostic and therapeutic challenges and dilemmas related to delivering TB care.  It is a case-based conference with the goal of aiding in the real-time care of existing patients, while reviewing the literature in an effort to guide promote evidence-based management decisions.  The conference serves as a forum to bring together TB clinicians to discuss difficult and complicated TB cases, including management of co-morbidities (including HIV) and drug-resistance.  Discussants and participants will include clinical TB experts from the Johns Hopkins University Division of Infectious Diseases, University of California--Los Angeles and LA County TB program, Harvard University--Beth Israel, as well as local and regional Health Departments. 

For more information about these sessions, contact Maunank Shah, MD.

*Participate in this LIVE conference using the Ask icon Ask Icon at the bottom right of the presentation.


 

TB Case Discussion (2017-05-17)

Description: 

60 y/o Norwegian man, living >20 years in Thailand. Arrived in Baltimore to initiate work on a ship.  Presented to hospital with fevers and respiratory distress with hpoxia (4L NC). Admitted to ICU.

Speaker: 
Dr. Maunank Shah
Keywords: 
Posted: 
May 17, 2017

TB Case Discussion (2017-03-22)

Description: 

58 y/o HIV negative traveler fro Philippines, arrived 3 weeks prior to presentation; 2-3 weeks of production cough

Speaker: 
Dr. Maunank Shah
Keywords: 
Posted: 
March 22, 2017

TB Case Discussion (2017-02-15)

Description: 
28 year old 28 weeks pregnant transferred for preterm labor. Afebrile, and no localizing complaints 
Speaker: 
Dr. Maunank Shah
Posted: 
February 15, 2017

TB Case Discussion (2016-10-05): Case 1

Description: 
19 year old female from Cape Verde with a history of SLE, admitted from renal clinic due to hypotension, malaise and weight loss in June 2016
 
Speaker: 
Dr. Ruvandhi Nathavitharana
Keywords: 
Posted: 
October 5, 2016

TB Case Discussion (2016-10-05): Case 2

Description: 
36 year old Vietnamese female with a history of gestational DM who developed a lump on the right side of her neck in Jan 2016.
 
Speaker: 
Dr. Maunank Shah and Dr. Ruvandhi Nathavitharana
Keywords: 
Posted: 
October 5, 2016

TB Case Discussion (2016-09-07)

Description: 

56 y/o Filipino male presents w/3 day hx of hemoptysis and 10lb wt loss over 1 yr. CT chect shows scarring w/ traction bronchiectasis in Bilat UL, groundglass opacties in RUL, BLL.

Speaker: 
Dr. Maunank Shah
Posted: 
September 7, 2016

TB Case Discussion (11-25-15)

Description: 

22 year old woman from Zambia: Living in the US since 2011 and going to school, lives with sister and bofriend, all from Zambia, interns 20-30 hours a week at an accounting firm.

Speaker: 
Maunank Shah, MD PhD
Keywords: 
Posted: 
November 25, 2015

TB Case Discussion (6-17-15)

Description: 

58 y/o female from the Philippines with new diagnosis of cervical cancer, referred to ID clinic early April 2015 due to pulmonary nodules discovered on PET CT.

Speaker: 
Dr. Ruvandhi Nathavitharana
Keywords: 
Posted: 
June 17, 2015

TB Case Discussion (4-15-15)

Description: 

57 yo homeless US born M presented to OSH with weakness, productive cough, dyspnea x 1 wk on 2/17/15.  CXR: mod large R pleural effusion with consolidation.

 

Speaker: 
Dr. Caitlin Reed
Keywords: 
Posted: 
April 21, 2015

TB Case Discussion (1-21-15) - Case #1

Description: 

44 year old Filipino male with a history of 2 renal transplants.  Presents with fevers, dry cough and abdominal pain.  Reports some blood in sputum and pleuritic pain.  Differential Diagnosis?  Further work up?  Empiric therapy?
 

Speaker: 
Dr. Ruvandhi Nathavitharana
Keywords: 
Posted: 
January 21, 2015

TB Case Discussion (1-21-15) - Case #2

Description: 

50 year old woman, PMH of diabetes, HbA1c of 12.6 who presented to her PCP with 2 months of cough on 8/12/14.  ROS: fatigue.  PMH: known prior +TST, seen in TB clinic 14 years prior, LTBI treatment not recommended (age <35 years and in the US >5 years at that time).

Speaker: 
Dr. Michelle Haas
Keywords: 
Posted: 
January 21, 2015

TB Case Discussion (12-10-14) - Case #1

Description: 

80 yo F presenting to ED with worsening SOB x few months.  Exercise tolerance decreased from 150 to 50 ft in last week.  Dry cough.  No fevers, chills, NS, wt loss, hemoptysis.

Speaker: 
Dr. Caitlin Reed
Keywords: 
Posted: 
December 10, 2014

TB Case Discussion (12-10-14) - Case #2

Description: 

60 yo M, Mexican immigrant, with PMHx gout, hypothyroidism, BPH, OA.  Presented with easy bruising, petechiae, gingival bleed.  No constitutional sx.  Meds: Terazosin, Allopurinol, Levothyroxine, Tramadol.

Speaker: 
Dr. Caitlin Reed
Posted: 
December 10, 2014

TB Case Discussion (11-12-14)

Description: 

37 y/o man from Honduras presented to outside hospital with hemoptysis.

Chest Xray showed bilateral infiltrates.  AFB smear-positive (3+).  GeneXpert Positive (Rif sensitive).

Speaker: 
Dr. Maunank Shah
Posted: 
November 12, 2014

Tuberculosis Case Conference (9-24-14) - Case 1

Description: 

69 y/o M from Indonesia in US for 2 years.  CC: Fevers and Cough.

Speaker: 
Dr. Maunank Shah
Keywords: 
Posted: 
September 24, 2014

TB Case Discussion (9-24-14) - Case 2

Description: 

79 y/o presents with Afib with RVR.  Echo reveals EF 54% with mod pericardial effusion.  Normal BP and converts with amiodarone.

 

Speaker: 
Dr. Maunank Shah
Keywords: 
Posted: 
September 24, 2014

Tuberculosis Case Conference (8-27-14)

Description: 

34 year-ld Indian woman with history of smear and culture negative TB treatment in India and US 2006-2007.

Subsequent progressive respiratory decline secondary to presumed interstitial lung disease.  Now s/p lung transpant in June 2014.

Speaker: 
Teeb Al-Samarrai, MD, MS
Posted: 
August 28, 2014

Tuberculosis Case Conference (6-25-14)

Description: 

If you missed our most recent TB Case Discussion, you can view it on-demand HERE. Click "Read More..." for a complete list of archived cases.
 

 

Speaker: 
Dr. Maunank Shah
Keywords: 
Posted: 
June 25, 2014

Tuberculosis Case Conference (5-28-14)

Description: 

No PMHx, presents with L draining ear x two wks, not improving with Amoxicillin, 3 days increasing SOB. Hear the discussion and more!

Speaker: 
Dr. Caitlin Reed
Keywords: 
Posted: 
May 28, 2014

Tuberculosis Case Conference (5-7-14)

Description: 

43 y/o with SLE on low dose steroids/plaquenil, treated for TB in Peru in 2000, received 'pulmonary M. fortuitum' tx in 2012, presented 1/2014 cough and "pneumonia" on CXR.

Speaker: 
Maunank Shah, MD and Caitlin Reed, MD
Keywords: 
Posted: 
May 7, 2014

Tuberculosis Case Conference (3-5-14)

Description: 

38 yo M, Armenian ethnicity, started on Remicade in July 2013 for tx of Ankylosing Spondylitis.  received RIF and subsequently INH for tx of LTBI (+TST, CXR with old granulomatous dz) starting July 2013.

Keywords: 
Posted: 
March 5, 2014

Tuberculosis Case Conference (2-5-14)

Description: 

62 yo homeless male presents with cough, NS, anorexia, dyspnea, 15lb wt loss x 3 mos, generalized weakness x 1 wk; found to have Hgb 7.5, stool FOBT+.

Speaker: 
Drs. Maunank Shah and Caitlin Reed
Keywords: 
Posted: 
February 5, 2014

Tuberculosis Case Conference (12-18-13)

Description: 

Twelve year old female from India recently immigrated presents with one week of mild headache and malaise.  No fevers, chills, cough, wieght loss, night sweats.  Noted to be very irritable with personality changes and went to emergency department.

Speaker: 
Drs. Maunank Shah and Caitlin Reed
Keywords: 
Posted: 
December 18, 2013

Tuberculosis Case Conference (10-23-13)

Description: 

What is your experience with hypercalcemia during TB treatment?  Is this a component of IRIS in HIV-infected patients with disseminated TB after initiating ART?  Does Vitamin D deficiency put a patient at increased risk for active TB?  Is Vitamin D supplementation safe in TB Patients?

Speaker: 
Drs. Caitlin Reed and Maunank Shah
Keywords: 
Posted: 
October 23, 2013

Tuberculosis Case Conference (9-25-13)

Description: 

Issues raised in this session included the usage of flouroquinolone based regimens and management of TB in patients with underlying liver disease and the diagnosis and management of TB relapse.

Speaker: 
Drs. Maunank Shah and Caitlin Reed
Keywords: 
Posted: 
September 25, 2013

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