Lymph node tuberculosis after occupational exposure in a Portuguese physician

Area of Science:

• Occupational Medicine
• Infectious Diseases
• Public Health

Background:

• Tuberculosis (TB) poses a significant occupational health risk to healthcare professionals.
• Immunocompromised status can increase susceptibility to infectious diseases like TB.
• Contact tracing is crucial for identifying and managing TB exposures in the workplace.

Purpose of the Study:

• To report a case of occupational tuberculosis in an immunocompromised physician.
• To emphasize the role of Occupational Medicine in managing work-related TB exposure.
• To highlight the importance of timely diagnosis and follow-up for healthcare workers.

Main Methods:

• Case report of a 48-year-old immunocompromised physician.
• Identification through occupational health services and contact tracing.
• Clinical evaluation, diagnostic workup for tuberculosis, and initiation of antitubercular therapy.

Main Results:

• Diagnosis of lymph node tuberculosis was established.
• The physician completed treatment without complications and returned to work.
• An occupational disease report was filed following clinical and radiological improvement.

Conclusions:

• Occupational Medicine plays a vital role in identifying at-risk healthcare workers.
• Timely intervention and follow-up are essential for managing occupational TB exposure.
• Effective management ensures the health and safety of healthcare professionals exposed to tuberculosis.