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Case Study 3

Ruth Ann is a 33 year old woman who works in housekeeping at a nursing home in Baltimore. Her medical history is negative and she reports that she has always been in good health. She reports no symptoms other than occasional migraine headaches. Her annual TB skin test last year showed a 4 mm induration. Her annual skin test was repeated last week.

Millimeters of induration? 15 mm (positive)

Ruth Ann’s skin test increased by more than 10 mm since last year classifying her as a converter and indicating recent infection.

Your recommendation to the patient is?

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