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Occupational Medicine 1996;46:87-88
© 1996 Society of Occupational Medicine

Case Reports

Occupational Tuberculosis and a Failed Postgraduate Medical Examination

S. C. Stenton and D. J. Hendrick

Chest Unit and Regional Unit for Occupational Lung Disease, Newcastle General Hospital Newcastle upon Tyne NE4 6BE, UK

A 40 year old pathologist presented with a tuberculous pleural effusion approximately one year after performing an autopsy as part of a postgraduate medical examination. She had made a diagnosis of disseminated tuberculosis but was told that this was incorrect and failed the examination. Bladder tissue from the cadaver was subsequently found to have grown M tuberculosis though none was cultured from lung tissue. No particular precautions against airborne infection were taken at the time of the autopsy and we speculate not only that the pathologist's original diagnosis was correct but that she became infected with M tuberculosis during the examination.

Received        6 February 1995
Accepted       15 August 1995

Correspondence and reprint requests to: S. C. Stenton, Chest Unit and Regional Unit for Occupational Lung Disease, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, UK


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