Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report
This is a case study of an ex-gold miner with an exposure duration to silica dust of 13 years, presenting with silico- tuberculosis and progressive massive brosis. We describe his tortuous and expensive route to diagnosis after being treated with antibiotics during his several visits to the loca...
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| Format: | Article |
| Language: | English |
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Mettamedia (Pty) Ltd
2022
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| Online Access: | https://hdl.handle.net/10520/EJC-58434ef2c http://hdl.handle.net/11408/5112 |
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| author | Moyo, Dingani Kgalamono, Spoponki |
| author_facet | Moyo, Dingani Kgalamono, Spoponki |
| author_sort | Moyo, Dingani |
| collection | DSpace |
| description | This is a case study of an ex-gold miner with an exposure duration to silica dust of 13 years, presenting with silico-
tuberculosis and progressive massive brosis. We describe his tortuous and expensive route to diagnosis after being
treated with antibiotics during his several visits to the local district hospital, and the challenges associated with diagnosis
and management of such complicated cases in poorly-resourced developing countries. The case highlights the plight of
ex-miners needing continuous medical care after retirement. We recommend the setting up of a dedicated national oc-
cupational health surveillance system for ex-workers in Zimbabwe as the key in the prompt investigation and diagnosis
of occupational diseases; training and education in occupational health for clinicians in primary healthcare centres; and
specic training in the early identication of silicosis, asbestosis and coal workers pneumoconiosis. |
| format | Article |
| id | ir-11408-5112 |
| institution | My University |
| language | English |
| publishDate | 2022 |
| publisher | Mettamedia (Pty) Ltd |
| record_format | dspace |
| spelling | ir-11408-51122022-08-12T09:59:59Z Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report Moyo, Dingani Kgalamono, Spoponki Silicosis Tuberculosis Progressive massive brosis Occupational disease Gold mining This is a case study of an ex-gold miner with an exposure duration to silica dust of 13 years, presenting with silico- tuberculosis and progressive massive brosis. We describe his tortuous and expensive route to diagnosis after being treated with antibiotics during his several visits to the local district hospital, and the challenges associated with diagnosis and management of such complicated cases in poorly-resourced developing countries. The case highlights the plight of ex-miners needing continuous medical care after retirement. We recommend the setting up of a dedicated national oc- cupational health surveillance system for ex-workers in Zimbabwe as the key in the prompt investigation and diagnosis of occupational diseases; training and education in occupational health for clinicians in primary healthcare centres; and specic training in the early identication of silicosis, asbestosis and coal workers pneumoconiosis. 2022-08-12T09:59:59Z 2022-08-12T09:59:59Z 2017-01-01 Article 2226-6097 1024-6274 https://hdl.handle.net/10520/EJC-58434ef2c http://hdl.handle.net/11408/5112 en Occupational Health Southern Africa;Vol. 23, No 1;Pages 11 - 13 open Mettamedia (Pty) Ltd |
| spellingShingle | Silicosis Tuberculosis Progressive massive brosis Occupational disease Gold mining Moyo, Dingani Kgalamono, Spoponki Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title | Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title_full | Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title_fullStr | Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title_full_unstemmed | Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title_short | Diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a Zimbabwe case report |
| title_sort | diagnostic challenges of silico-tuberculosis in a case with progressive massive fibrosis – a zimbabwe case report |
| topic | Silicosis Tuberculosis Progressive massive brosis Occupational disease Gold mining |
| url | https://hdl.handle.net/10520/EJC-58434ef2c http://hdl.handle.net/11408/5112 |
| work_keys_str_mv | AT moyodingani diagnosticchallengesofsilicotuberculosisinacasewithprogressivemassivefibrosisazimbabwecasereport AT kgalamonospoponki diagnosticchallengesofsilicotuberculosisinacasewithprogressivemassivefibrosisazimbabwecasereport |