title: [A Young Asylum Seeker with Hemoptysis and Positive Tuberculosis Screening: Not Always Tuberculosis!]
abstract: This paper reports on the case of a 19 year old asylum seeker from Eritrea who presented with hemoptysis, a positive tuberculosis screening (Enzyme Linked Immuno Spot Assay - EliSpot) and mushy faeces submitted with a suspected diagnosis of tuberculosis. Laboratory testing revealed thrombopenia, leukopenia and eosinophilia, while the chest X-ray was inconspicuous. Acid-proof rod bacteria were neither evident in bronchoscopy samples nor in expectorated sputum samples. However, sonographic findings showed a profound splenomegaly, and laboratory testing revealed a Schistosoma mansoni infection. This case demonstrates that in asylum seekers with suspected tuberculosis endemic diseases of the home country need to be considered as alternative diagnoses.
authors.affiliation: Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH.
authors.forename: T
authors.initials: T
authors.lastname: Stevens
authors.affiliation: Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH.
authors.forename: S B
authors.initials: SB
authors.lastname: Schwarz
authors.affiliation: Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH.
authors.forename: F S
authors.initials: FS
authors.lastname: Magnet
authors.affiliation: Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH.
authors.forename: W
authors.initials: W
authors.lastname: Windisch
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D005189:False Positive Reactions; D006469:Hemoptysis / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D012036:Refugees; D012550:Schistosoma mansoni; D012555:Schistosomiasis mansoni / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology*; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D055815:Young Adult