TB Case Discussion (2015-01-21) – Case 2

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). SocHX: Originally from Mexico, moved to the US in 1978. Elementary school teacher. No tobacco/EtoH. Lives with 18 year old and 27 year old daughters, 2 grandchildren. FH: Aunt died of TB 30 years ago. Meds: Metformin, simvastatin.