Lymph node tuberculosis after occupational exposure in a Portuguese physician

Tuberculosis is an infectious disease that remains a significant work-related health concern among health professionals. This report describes the case of a 48-year-old immunocompromised physician identified by Occupational Health Services during contact tracing following high-risk exposure to a tuberculosis case. The patient presented with fever, night sweats, and productive cough, and was referred to a Pulmonary Diagnostic Center for further evaluation. After an appropriate investigation, a diagnosis of lymph node tuberculosis was established. Antitubercular therapy was initiated without complications, and the patient returned to work following clinical and radiological improvement. An occupational health assessment was conducted, and a formal report of occupational disease was filed. This case highlights the essential role of Occupational Medicine in the timely identification of workers at risk of exposure and their appropriate follow-up.