A 35‐year‐old refugee from Eritrea had a 4‐month history of night sweats and weight loss. Recently he had become more short of breath and had haemoptysis. He shared a room with four other family members. He has lived in the UK for 6 months. Though he remained haemodynamically stable he had a temperature of 38°C. Bronchial breathing was heard in the right upper zone of his chest. He had a mantoux test which was read 48 hours later and found to be strongly positive. He had a chest X‐ray (Fig. 0007) and his sputum showed acid‐fast bacilli.

Fig. 0007.