Disseminated tuberculosis in a pregnant immunocompetent healthcare worker
Bibliographic record
Abstract
Health care workers (HCWs) have an increased risk of Mycobacterium Tuberculosis (TB) infection compared to general population. Pregnancy suppresses the Lymphocyte T-helper 1 (Th1) pro-inflammatory response. Frequent and consecutive pregnancies may also promote TB infection or reactivation of latent TB. But there is still no evidence of certain risk of severe disseminated infection. A 35-year-old pregnant woman, working as a laboratory officer, presented with fever, general weakness then acute respiratory failure. Miliary lung nodules were noted on chest X-ray. Under the impression of miliary tuberculosis, anti TB medication was administered. Likelihood of This diagnosis was due to her occupation, exposition to Mycobacterium Tuberculosis, clinical and radiologic findings. CT scan revealed cerebro-meningeal, pulmonary, splenic and ganglionary TB. The patient was treated successfully with ordinary anti TB combination regimen. Delivery and post partum was without complication. Cases of severe TB in an otherwise healthy pregnant woman are rare. This is an occupational disease to prevent.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".