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CMAJ • February 8, 2000; 162 (3)
© 2000 Canadian Medical Association or its licensors

Review
Synthèse

Clinical Basics

Tuberculosis: 13. Control of the disease among aboriginal people in Canada

J. Mark FitzGerald, Lei Wang and R. Kevin Elwood

From the BC Centre for Disease Control Society, Vancouver, BC

Series editor: Dr. Anne Fanning

Abstract

Case 1: A 36-year-old aboriginal woman has a 12-mm-diameter reaction to a tuberculosis (TB) skin test, done as part of a community survey. She was vaccinated with BCG (bacille Calmette-Guérin) at 6 weeks of age. There is no documented history of contact with TB, and no skin tests were carried out previously. The woman's family doctor wonders about the significance of the result.

Case 2: A 27-year-old aboriginal man presents with a 6-week history of cough and fever and recent onset of hemoptysis. He has recently completed 2 courses of antibiotics, but there has been no improvement in symptoms. Chest radiography shows right upper lobe pneumonia. A further course of antibiotics is prescribed. What investigations should be completed next?

Case 3: The mother of a 2-day-old aboriginal infant asks for advice about the benefits of BCG vaccination. She is confused about the side effects of BCG and its effectiveness.




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