Pulmonary tuberculosis - Overview
TB; Tuberculosis - pulmonary
Definition of Pulmonary tuberculosis:
Pulmonary tuberculosis (TB) is a contagious bacterial infection that involves the lungs, but may spread to other organs.
Causes, incidence, and risk factors:
Pulmonary tuberculosis (TB) is caused by the bacteria Mycobacterium tuberculosis (M. tuberculosis). You can get TB by breathing in air droplets from a cough or sneeze of an infected person. This is called primary TB.
In the United States, most people will recover from primary TB infection without further evidence of the disease. The infection may stay asleep or inactive (dormant) for years. However, in some people it can reactivate.
Most people who develop symptoms of a TB infection first became infected in the past. However, in some cases, the disease may become active within weeks after the primary infection.
The following people are at higher risk for active TB:
- People with weakened immune systems, for example due to AIDS, chemotherapy, diabetes, or certain medications
Your risk of contracting TB increases if you:
- Are in frequent contact with people who have TB
- Have poor nutrition
- Live in crowded or unsanitary living conditions
The following factors may increase the rate of TB infection in a population:
- Increase in HIV infections
- Increase in number of homeless people (poor environment and nutrition)
- The appearance of drug-resistant strains of TB
In the United States, there are approximately 10 cases of TB per 100,000 people. However, rates vary dramatically by area of residence and socioeconomic status.
See also: Disseminated tuberculosis
- Reviewed last on: 12/7/2010
- David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Iseman MD. Tuberculosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 345.
Fitzgerald DW, Sterling TR, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolan R, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 7th ed. Orlando, FL: Saunders Elsevier; 2009:chap 250.
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