Tuberculosis: 17 Questions and Answers
Confused About Tuberculosis Headlines? Get the Facts
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What about surgery? continued...
Speaker's operation was done with a minimally invasive technique called video-assisted thoracic surgery (VATS).
In VATS, surgeons access the lung through a 2-inch incision in the patient's side, as well as two incisions (each 1-centimeter long) for surgical instruments and a tiny, fiberoptic camera.
The infected part of Speaker's lung has been described as roughly the size of a tennis ball, notes the National Jewish Medical and Research Center.
Marvin Pomerantz, MD, director of the Center for the Surgical Treatment of Lung Infections at the University of Colorado at Denver Health Sciences Center, tells WebMD that he wouldn’t call lung surgery a last resort.
“I'd call it part of the overall treatment of the difficult cases of tuberculosis," with more antibiotic treatment after the operation, Pomerantz says.
What transatlantic flights did Speaker take?
According to the CDC, he flew on two transatlantic flights in May:
Air France flight 385 (Delta co-share flight 8517): Departed Atlanta on May 12, arrived in Paris on May 13
Czech Airlines flight 0104: Departed Prague, Czech Republic on May 24, arriving in Montreal on the same day
What should passengers on those flights do?
Call the CDC at 800-CDC-INFO for information on tuberculosis testing.
Passengers likely to be at highest risk for potential tuberculosis transmission during those flights were sitting in Speaker's row and in the two rows in front or behind him, notes CDC Director Julie Gerberding, MD, MPH.
Gerberding says the CDC has been in touch with 74 U.S. citizens and residents on the Air France/Delta flight, including all 26 passengers who were believed to be sitting in the high-risk rows around Speaker's seat.
Canadian authorities have identified the 28 passengers seated in the high-risk rows around Speaker on the Czech Airlines flight, says Gerberding.
Those passengers -- and anyone else on those flights -- will be put in touch with local health officials in their city or state for tuberculosis testing. Since tuberculosis grows slowly, any initial tests that show tuberculosis would probably stem from infection before the flights. Follow-up tests two months later would indicate whether or not any of those travelers got tuberculosis on those flights.
"It's hopeful we're not going to see a lot of exposure because he probably wasn't terribly contagious," Hamilton says.