TB Case Discussion (2019-09-25)

- 71 year old Haitian woman with recent admissions

• CABG with post-op sternal pseudomonal osteomyelitis
• Recent diagnosis of autoimmune hepatitis (azathioprine/budesonide)
• No prior TB symptoms

Readmitted with vomiting

- CT showing bilateral pleural effusions

PMH:     

• Atrial Fibrillation (postop) 
• Autoimmune Hepatitis: azathioprine and budesonide 
• Coronary Artery Disease s/p CABG x 5 
• Diabetes Mellitus Type II c/b Diabetic Neuropathy
• Hyperlipidemia, Hypertension