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CASE HISTORY The Patient,Asuncion,is an Eight-Year-Old Girl from Argentina.She Received the BCG

Question 46

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CASE HISTORY
The patient,Asuncion,is an eight-year-old girl from Argentina.She received the BCG vaccine for tuberculosis about one year before coming to the United States.Upon entering school in the United States,she must take a skin test for tuberculosis (TB).Asuncion tries to refuse but is told it is a requirement.She allows the nurse to apply the test to her arm.Three days later,the test site has a large red lesion and the skin is starting to slough (peel off).
From the information given in the case study,we cannot tell whether Asuncion could potentially pose a TB infection risk to her classmates.Why was this test an inappropriate one for Asuncion and what would be a more useful alternative?

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The test examines immune response to TB ...

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