Pre-XDR Tuberculosis Acquired by Probable Occupational Transmission

Authors

  • Lucas de Souza Loureiro Abbud Santos Instituto de Infectologia Emílio Ribas
  • Camila Rodrigues Instituto de Infectologia Emílio Ribas
  • Denise Espindola Matos Beneficência Portuguesa
  • Victória Spinola Duarte de Oliveira Instituto de Infectologia Emílio Ribas
  • Giap Passos Figueiredo Pereira Gomes Instituto de Infectologia Emílio Ribas

DOI:

https://doi.org/10.5935/2764-734X.e20251170

Keywords:

Tuberculosis, Multidrug-Resistant, Occupational Diseases, Bronchoscopy, Tumor Necrosis Factor Inhibitors, Case Report

Abstract

Occupational transmission of tuberculosis is a significant part of its importance to public health, including the possibility of healthcare professionals acquiring resistant forms of the disease in situations of high exposure, such as aerosol-generating procedures. This report describes the case of a healthcare professional who developed primary pulmonary tuberculosis with an extensive pre-resistance profile. The diagnosis was confirmed by molecular and phenotypic tests, and treatment involved bedaquiline, linezolid, clofazimine, and terizidone for a total period of 18 months, with good clinical response. This case highlights the need for precise identification of potential resistance levels in tuberculosis and underscores the importance of administrative, environmental, and individual measures to reduce occupational risks.

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Published

2025-12-22

How to Cite

Santos, L. de S. L. A., Rodrigues, C., Matos, D. E., Oliveira, V. S. D. de, & Gomes, G. P. F. P. (2025). Pre-XDR Tuberculosis Acquired by Probable Occupational Transmission. Infections in Evidence, 4, e20251170. https://doi.org/10.5935/2764-734X.e20251170

Issue

Section

Case Reports