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Pulmonary tuberculosis TB is a contagious bacterial infection caused by Mycobacterium tuberculosis M. The lungs are primarily involved, but the infection can spread to other organs. Tuberculosis can develop after inhaling droplets sprayed into the air from a cough or sneeze by someone infected with M. The disease is characterized by the development of granulomas granular tumors in the infected tissues.

The usual site of the disease is the lungs, but other organs may be involved. The primary stage of the infection is usually asymptomatic without symptoms. In the United States, the majority of people will recover from primary TB infection without further evidence of the disease.

Primary pulmonary TB develops in the minority of people whose immune systems do not successfully contain the primary infection. In this case, the disease may occur within weeks after the primary infection. TB may also lie dormant for years and reappear after the initial infection is contained. Infants, the elderly, and individuals who are immunocompromised -- for example, those with AIDSthose undergoing chemotherapyor transplant recipients taking antirejection medications -- are at higher risk for progression to disease or reactivation of dormant disease.

In pulmonary TB, the extent of the disease can vary from minimal to massive involvement. Without effective therapy, the disease becomes progressively worse. The risk of contracting TB increases with the frequency of contact with people who have the disease, with crowded or unsanitary living conditions and with poor nutrition. Recently, there has been an increase in cases of TB in the U.

Factors that may contribute to the increase in tuberculous infection in a population are:. Incomplete treatment of TB infections such as failure to take Adult consumption disfunction humor junction whats for the prescribed length of time can contribute to the emergence of drug-resistant strains of bacteria. Individuals with immune Adult consumption disfunction humor junction whats damaged by AIDS have a higher risk of developing active tuberculosis -- either from new exposure to TB or reactivation of dormant mycobacteria.

In addition, without the aid of an active immune system, treatment is more difficult and the disease is more resistant to therapy. In the U. Also see:. Examination of the lungs by stethoscope can reveal crackles unusual breath sounds. Enlarged or tender lymph nodes may be present in the neck or other areas. Fluid may be detectable around a lung. Clubbing of the fingers or toes may be present. The goal of treatment is to cure the infection with antitubercular drugs.

Daily oral doses of multiple drugs -- which may include combinations of rifampin, isoniazid, Adult consumption disfunction humor junction whats, ethambutol, or occasionally others -- are continued until culture results show the drug sensitivity of the mycobacterial infection. This helps to guide the selection of drug therapy. Treatment is typically continued for 6 months, but longer courses may be required for AIDS patients or Jamie lynn porn lesbian whose disease responds slowly.

For atypical tuberculosis infections, or drug-resistant strains, other drugs and different lengths of therapy may be indicated to treat the infection. Hospitalization may be indicated to prevent the spread of the disease to others until the contagious period has been resolved with drug therapy. Normal activity can be continued after the contagious period. The stress of illness may be helped by joining a support group where members share common experiences and problems.

See lung disease - support group. Symptoms may improve in 2 to 3 weeks. A chest x-ray will not show this improvement until later. Prognosis is Indian nude big boob if pulmonary TB is diagnosed early and treatment is begun. All medications used to treat TB have some toxicity. Rifampin and isoniazid may both cause a non-infectious hepatitis.

Rifampin may also cause an orange or brown coloration of tears and urine. Those taking ethambutol should have their vision monitored, as this drug Adult consumption disfunction humor junction whats affects the eye.

Any rash, abdominal pain, jaundice, or tingling in toes or fingers may be a sign of drug toxicity and should be reported to your doctor immediately. Other complications include drug resistance to particular TB strains and a relapse of the disease in some patients. Call your health care provider if you have been exposed to tuberculosis, or if symptoms of TB develop. TB is a preventable disease, even in those who have been exposed to an infected person. Skin testing PPD for TB is used in high risk populations or in individuals who may have been exposed to TB, such as health care workers.

A positive skin test indicates prior TB exposure. Preventive therapy should be discussed with your doctor. Individuals exposed to tuberculosis should be skin tested immediately and a follow-up test should be done at a later date, if the initial test is negative. Prompt treatment is extremely important in controlling the spread of tuberculosis for those who have already progressed to active TB disease. It is not routinely used in the United States. People who have had BCG may still be skin tested for TB and results of testing if positive discussed Adult consumption disfunction humor junction whats one's doctor.

Epub Jun Pulmonary tuberculosis Definition Pulmonary tuberculosis TB is a contagious bacterial infection caused by Mycobacterium tuberculosis M. Causes, incidence, and risk factors Tuberculosis can develop after inhaling droplets sprayed into the air from a cough or sneeze by someone infected with M.

Factors that may contribute to the increase in tuberculous infection in a population are: Increase in HIV infection Increase in number of homeless individuals poor environment and poor nutrition The appearance of drug-resistant strains of TB Incomplete treatment of TB infections such as failure to take medications for the prescribed length of time can contribute to Adult consumption disfunction humor junction whats emergence of drug-resistant strains of bacteria.

Also see: Disseminated tuberculosis affects the whole body Atypical mycobacterial infection Symptoms Limited to minor cough and mild fever, if apparent Fatigue Unintentional weight loss Coughing up blood Fever and night sweats Phlegm-producing cough Additional symptoms that may be associated with this disease: Wheezing Excessive sweating, especially at night Chest pain Breathing difficulty Signs and tests Examination of the lungs by stethoscope can reveal crackles unusual breath sounds.

This type of test looks for an immune response to proteins produced by M. Rarely, biopsy of the affected tissue typically lungs, pleura, or lymph nodes Treatment The goal of treatment is to cure the infection with antitubercular Adult consumption disfunction humor junction whats. Support Groups The stress of illness may be helped by joining a support group where Adult consumption disfunction humor junction whats share common experiences and problems.

Expectations prognosis Adult consumption disfunction humor junction whats may improve in 2 to 3 weeks. Complications Pulmonary TB can cause permanent lung damage if not treated early.

Calling your health care provider Call your health care provider if you have been exposed to tuberculosis, or if symptoms of TB develop. Call your health care provider if symptoms persist despite treatment. Also call if new symptoms develop, including indications that complications are developing.

Prevention TB is a preventable disease, Amateur wife panties bra in those who have been exposed to an infected person. US Centers for Disease Control. Treatment of Tuberculosis. MMWR ; Tuberculosis, advanced - chest X-rays.

Pulmonary nodule - front view chest X-ray. Pulmonary nodule, solitary - CT scan. Erythema nodosum associated with sarcoidosis.


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