Manpreet Kaur, a 24-year-old Indian national on a student visa, died of pulmonary and miliary tuberculosis on 20 June 2024 at Melbourne Airport. She had been symptomatic for months, presenting to a GP on 19 May 2024 with respiratory symptoms (chesty cough, sore throat, voice loss) which were diagnosed as viral upper respiratory infection without further investigation. She was severely unwell and emaciated (BMI 11.7) by the time she collapsed boarding an international flight. Critical clinical lessons: TB must be considered in persistent respiratory symptoms, particularly in migrants from high-prevalence countries; early imaging or microbiological investigation may have identified TB before critical deterioration. The case highlights that available free TB treatment in Australia was not accessed, suggesting barriers to healthcare awareness or access for non-residents and culturally diverse communities require urgent attention.
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Specialties
general practicerespiratory medicineinfectious diseasespublic health
Failure to investigate persistent respiratory symptoms adequately
No imaging or microbiological testing despite concerning presentation
Lack of awareness of free TB treatment services in Victoria
Possible concerns about visa status affecting healthcare-seeking behaviour
Inadequate outreach to non-residents and culturally linguistically diverse communities
Deterioration over weeks not prompting family to seek emergency care
Coroner's recommendations
All agencies connected with the Victorian Tuberculosis Program, including the Department of Health, should ensure that outreach to the Victorian public is as effective as practicable, particularly to persons who are non-residents or from culturally and linguistically diverse communities
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