Case Details

Patient: 1669
Gender

male

Provider

AZ

Country

AZ

Verification: Final
Verified

20:39 Oct 1, 2018

Extensive drug resistance

Anamnesis Data

DST Profile
Extensive drug resistance
Date
Dec 15, 2016
Age Of Onset
56
Case Definition
Patient have previously been treated for TB and whose treatment failed at the end of their most recent course of treatment
Localization
Pulmonary tuberculosis
Diagnosis (ICD-10)
A15.0 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture
Weight (kg)
54.0
Height (cm)
172.0
Comorbidities
Diabetes mellitus; Anemia

Social Data

Education
Basic school (incl. primary)
Employment
No official work/position
Total Children
[NOT SET]
Total Contacts
4
Risk Factors
The patient was imprisonedin the past
Specimen
Identifier Date Material Action
3442 Sep 14, 2017 Sputum sample
3441 Mar 9, 2017 Sputum sample
3440 Dec 16, 2016 Sputum sample
Microscopy
Specimen Date Result Action
3442 Sep 20, 2017 1 to 9 acid-resistant bacteria in 100 fields of view when stained by Ziehl-Nielsen (1-9/100)
3441 Mar 9, 2017 1 to 9 acid-resistant bacteria in 100 fields of view when stained by Ziehl-Nielsen (1-9/100)
3440 Dec 16, 2016 10 to 99 acid-resistant bacteria in 100 fields of view when stained by Ziehl-Nielsen (1+)
Culture
Specimen Date Culture Type Result Action
3442 Oct 6, 2017 Not specified 1 to 19 colonies (Single Colony)
3441 Mar 31, 2017 Not specified 20 to 100 colonies (1+)
3440 Jan 10, 2017 Not specified 20 to 100 colonies (1+)
Drug susceptibility testing
Specimen DST test Date H R S E Ofx Cm Am Km Z Lfx Mfx Pas Pto Cs Amx/Clv Mb Eto Dld Bdq Ipm/Cln Lzd Cfz Clr Ft AG/CP Action
3441 Lowenstein-Jensen Jun 29, 2017 R R R R R R R R S R I I R R
3440 Lowenstein-Jensen Feb 21, 2017 R R R R R R S R S R R
3440 GeneXpert Dec 16, 2016 R
Treatment
Start Date

Dec 20, 2016

End Date

Aug 1, 2017

Outcome

Failure

Start Date End Date Reason For Ending H R S E Ofx Cm Am Km Z Lfx Mfx Pas Pto Cs Amx/Clv Mb Eto Dld Bdq Ipm/Cln Lzd Cfz Clr Ft AG/CP Trd ART Cotrimoxazol Action
Dec 20, 2016 Aug 1, 2017 Additional resistance discovered, treatment regime is not effctive
Imaging studies
Genomes
Specimen Source Organism Specimen Collected Date Bio Project Bio Sample Sequence Read Archive Octal Spoligotype Lineage
3441 Mycobacterium tuberculosis Mar 9, 2017 PRJNA318002 SAMN09399421 SRR7652969 777740003760771 T1