Introduction
What is TB?
TB, or tuberculosis, is a disease caused by bacteria
called Mycobacterium tuberculosis. The bacteria can attack any part of
your body, but they usually attack the lungs. TB disease was once the
leading cause of death all over the world.
In the 1940s,
scientists discovered the first of several drugs now used to treat TB.
As a result, TB slowly began to disappear. But TB has come back.
Between 1985 and 1992, the number of TB cases increased. The world
became complacent about TB and funding of TB programs was decreased.
However, with increased funding and attention to the TB problem, we
have had a steady decline in the number of persons with TB. But TB is
still a problem.
TB is spread through the air from one
person to another. The bacteria are put into the air when a person
with TB disease of the lungs or throat coughs or sneezes. People
nearby may breathe in these bacteria and become infected.
People who are infected with latent TB do not feel sick, do not have
any symptoms, and cannot spread TB. But they may develop TB disease at
some time in the future. People with TB disease can be treated and
cured if they seek medical help. Even better, people who have latent
TB infection but are not yet sick can take medicine so that they will
never develop TB disease.
How is TB Spread?
TB is spread through the air from one person to
another. The bacteria are put into the air when a person with TB
disease of the lungs or throat coughs or sneezes. People nearby may
breathe in these bacteria and become infected.
When a person
breathes in TB bacteria, the bacteria can settle in the lungs and
begin to grow. From there, they can move through the blood to other
parts of the body, such as the kidney, spine, and brain.
TB
in the lungs or throat can be infectious. This means that the bacteria
can be spread to other people. TB in other parts of the body, such as
the kidney or spine, is usually not infectious.
People with
TB disease are most likely to spread it to people they spend time with
every day. This includes family members, friends, and coworkers.
What is latent TB infection?
In most people who breathe in TB bacteria and become
infected, the body is able to fight the bacteria to stop them from
growing. The bacteria become inactive, but they remain alive in the
body and can become active later. This is called latent TB infection.
People with latent TB infection
Have no symptoms. |
Dont feel sick. |
Cant spread TB to others. |
Usually have a positive skin test reaction |
Can develop TB disease later in life if they do not receive
treatment for latent TB infection. |
Many people who have latent TB infection never develop TB disease.
In these people, the TB bacteria remain inactive for a lifetime
without causing disease. But in other people, especially people who
have weak immune systems, the bacteria become active and cause TB
disease.
What is TB disease?
TB bacteria become active if the immune system can't
stop them from growing. The active bacteria begin to multiply in the
body and cause TB disease. Some people develop TB disease soon after
becoming infected, before their immune system can fight the TB
bacteria. Other people may get sick later, when their immune system
becomes weak for some reason.
Babies and young children
often have weak immune systems. People infected with HIV, the virus
that causes AIDS, have very weak immune systems. Other people can have
weak immune systems, too, especially people with any of these
conditions.
Substance abuse |
Diabetes mellitus |
Silicosis |
Cancer of the head or neck |
Leukemia or Hodgkin's disease |
Severe kidney disease |
Low body weight |
Certain medical treatments (such as corticosteroid treatment or
organ transplants) |
Symptoms of TB depend on where in the body the TB bacteria are
growing. TB bacteria usually grow in the lungs. TB in the lungs may
cause
A bad cough that lasts longer than 2 weeks |
Pain in the chest |
Coughing up blood or sputum (phlegm from deep inside the lungs) |
Weakness or fatigue |
Weight loss |
No appetite |
Chills |
Fever |
Sweating at night |
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