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Tuberculosis

Patient confidentiality

I am teaching a young nursing student who immigrated to the United States three years ago. She had the BCG vaccine as a child, and two previous purified protein derivative (PPD) tests were negative. However, her most recent PPD was positive (11-mm induration). Chest x-ray was negative. The patient was asymptomatic and refused isoniazid therapy…

Monitoring TB

A college student with a positive result on purified protein derivative (PPD) testing (induration 12 mm) and a negative chest x-ray was treated with nine months of isoniazid. During this period, he was active and felt well. Pertinent history included living in Japan and traveling throughout Southeast Asia until age 4 years. He currently travels…

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