id author title date pages extension mime words sentences flesch summary cache txt cord-255477-okbxllit Grabau, John C. Investigation of sudden death from Mycobacterium tuberculosis in a foreign-born worker at a resort hotel() 2004-09-25 .txt text/plain 2836 152 56 9 An investigation conducted among inner city residents in a large United States city identified predictors of death to be underlying illnesses such as diabetes mellitus, renal failure, chronic obstructive pulmonary disease, and HIV infection. A TB-related sudden death, where TB disease was not suspected or detected until autopsy, led to a large contact investigation and prompted the New York State Department of Health to look into other TB deaths in an effort to identify patterns where TB disease may have gone undetected and to identify opportunities for intervention to prevent transmission of infection and subsequent development of disease. Firstround testing of close contacts looked at 171 individuals, 24 (14%) of whom were known by the local health department to be TB skin test (TST)-positive. In the investigation described here, the index patient was identified at death as having extensive TB disease and likely infected a substantial number of coworkers and social contacts. ./cache/cord-255477-okbxllit.txt ./txt/cord-255477-okbxllit.txt