%0 Journal Article %T Back %A Anne Marie Mc Laughlin %A Rory A. O¡¯Donnell %A Noel Gibbons %A Mary Scully %A Darina O¡¯FlanganJoseph Keane %J The Open Respiratory Medicine Journal %D 2007 %I Bentham Open %R 10.2174/1874306400701010007] %X Anne Marie Mc Laughlin, Rory A. O¡¯Donnell, Noel Gibbons, Mary Scully, Darina O¡¯Flangan and Joseph Keane Published Date: (15 December, 2007) We describe a case of a 25 year old female from Lithuania who presented with a productive cough. Chest radiograph demonstrated an infiltrate in the left upper lobe and a cavitating lesion in the right middle lobe. Sensitivity testing of her sputum led to a diagnosis of extensively drug-resistant tuberculosis (XDR-TB). This is the first case in Ireland and highlights the need for physicians to be aware of the possibility of XDR-TB. Moreover it underlines the need for improvement in service provision in terms of a TB reference laboratory and TB clinics. %U http://www.benthamscience.com/open/tormj/articles/V001/7TORMJ.htm