Case Details

Patient: 1060
Gender

female

Provider

AZ

Country

AZ

Verification: Final
Verified

20:37 Oct 1, 2018

Extensive drug resistance

Anamnesis Data

DST Profile
Extensive drug resistance
Date
Jan 9, 2016
Age Of Onset
24
Case Definition
Patient has never been treated for TB or has taken anti-TB drugs for less than 1 month
Localization
Pulmonary tuberculosis
Diagnosis (ICD-10)
A15.0 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture
Weight (kg)
55.0
Height (cm)
165.0
Comorbidities
Not specified

Social Data

Education
Basic school (incl. primary)
Employment
No official work/position
Total Children
[NOT SET]
Total Contacts
3
Risk Factors
Contact with MDR was investigated and documented
Specimen
Identifier Date Material Action
1516 Jul 1, 2016 Sputum sample
1515 Jun 2, 2016 Sputum sample
1514 May 21, 2016 Sputum sample
1513 Apr 1, 2016 Sputum sample
1512 Feb 24, 2016 Sputum sample
1511 Jan 9, 2016 Sputum sample
Microscopy
Specimen Date Microsopy Type Result Action
1516 Jul 2, 2016 Negative result
1515 Jun 3, 2016 10 to 99 acid-resistant bacteria in 100 fields of view when stained by Ziehl-Nielsen (1+)
1514 May 21, 2016 10 to 99 acid-resistant bacteria in 100 fields of view when stained by Ziehl-Nielsen (1+)
1513 Apr 1, 2016 1 to 9 acid-resistant bacteria in 1 fields of view when stained by Ziehl-Nielsen (2+)
1512 Feb 25, 2016 10 to 99 acid-resistant bacteria in 1 fields of view when stained by Ziehl-Nielsen (3+)
1511 Jan 9, 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
1516 Jul 18, 2016 Not specified Growth of mycobacterium (Positive)
1514 Jun 15, 2016 Not specified 100 to 200 colonies (2+)
1513 Apr 20, 2016 Not specified More than 200 colonies (3+)
1512 Mar 10, 2016 Not specified More than 200 colonies (3+)
1515 Feb 22, 2016 Not specified 20 to 100 colonies (1+)
1511 Jan 22, 2016 Not specified 100 to 200 colonies (2+)
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
1511 Lowenstein-Jensen Mar 10, 2016 R R R R R R R R I R
1511 Bactec Jan 25, 2016 R R R R R I R S S R S S
1511 GeneXpert Jan 9, 2016 R
Treatment
Start Date

Jan 9, 2016

End Date

Feb 1, 2018

Outcome

Completed

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
Jan 11, 2016 Feb 1, 2018 Treatment ended
Imaging studies
Study Date Modality Series Count Images Count Has Report Action
Jul 30, 2016 CT 4 27
Genomes
Specimen Source Organism Specimen Collected Date Bio Project Bio Sample Sequence Read Archive Octal Spoligotype Lineage
1516 Mycobacterium tuberculosis 16-003090 Jul 1, 2016 PRJNA318002 SAMN06209890 SRR5153085 000000000003771 Beijing