A 40-year-old man recently arrived from a high-prevalence country for tuberculosis presents for a health check. He has no symptoms. Chest X-ray is nor...

Question

A 40-year-old man recently arrived from a high-prevalence country for tuberculosis presents for a health check. He has no symptoms. Chest X-ray is normal. What is the most appropriate screening strategy for latent tuberculosis infection?

Accepted Answer

Interferon-gamma release assay or tuberculin skin test depending on availability

Answer

No screening is indicated because he is asymptomatic

Answer

Sputum culture only

Answer

CT chest to detect early disease

Answer

Empirical isoniazid for all migrants without testing

au-racp MCQ (SBA): Latent tuberculosis infection

A 40-year-old man recently arrived from a high-prevalence country for tuberculosis presents for a health check. He has no symptoms. Chest X-ray is normal. What is the most appropriate screening strategy for latent tuberculosis infection?