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Sakhtiswaran Rajasekar, 5 YEAR, 2010

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SAKHTISWARAN RAJASEKAR, 5TH YEAR, 2010

 Tuberculosis is a chronic infectious disease caused


by mycobacterium tuberculosis/m.bovis, mainly
affecting the lungs causing PTB and also affects
other parts of the body causing EPTB.
 It is characterized by cough lasting more than 3
weeks and not responding to usual antibiotics,
production of sputum sometimes blood stained,
temperature and night sweats, weight loss.
 A third of the world's population are thought to
be infected with M. tuberculosis.
 In 2007 there were an estimated 13.7 million
chronic active cases, 9.3 million new cases, and
1.8 million deaths
 TB is the leading cause of death from a single
infection in adults.
 1 in 10 to 1 in 20 of the people infected with TB
actually get sick.
 If untreated, fatal in over 50% of cases.
 Untreated patients infect 10-12 people on a
yearly basis.
 TB has been around since prehistoric times,
Found in ancient mummies
 Are rod shaped(bacilli) and sometimes they
exhibit filamentous forms resembling fungal
mycelium and hence they are so named.
 Gram positive
 Non-motile, non-capsulated, non sporing
 Are acid fast bacilli
 Very slow growing
 This genus includes over 50 species
Transmission –air droplets, food/milk,
through skin
Forms or Primary TB:
 TB intoxication (TBI) as an independent
disease (5%).
 Primary TB complex (PTBC) (25%).
 TB of intrathoracic lymph-nodes
(TBITLN) (70%).
 paleness of the skin integument .
 poorly developed subcutaneous fat.
 node erythema (local consolidation of the skin with
cyanotic discoloration and large dermal papules).
 Phlyctenular Keratoconjunctiviti, conjunctivitis,
blepharitis
 micropolyadenitis (increased, feebly tender, movable
peripheral lymph-nodes).
 enlarged liver,
 splenic hyperplasia.
 quick pulse
No evident TB intrathoracic
lesions. except paraspecific
reactions:
- increased periradical lung
pattern (congestion)
- slight lung field fogging
(pleural reaction)
 Pneumonic stage – onset of the disease when
clinical manifestations are at the height.
 Bipolar stage –clinical manifestation
regression in 2-3 months after onset.
 Consolidation stage – lung affection
capsulizing without clinical symptoms.
 Ossification stage – Ghon’s focus formation.
 Post-primary tuberculosis is a reinfection
tuberculosis (RT) in adults

-limitation to the lung;


-progression with caseous sloughing;
-intrabronchial spread;
-cavity formation.
 Cavity TB- the caseous necrosis may be absorbed or it erodes
into a bronchus and is coughed out leaving behind a cavity
 Fibrocaseous TB/ Tuberculoma- Fibrosis causes restriction of
the size of the caseous necrosis resulting in the formation of
solid nodules called fibrocaseous tuberculosis.
 Tuberculous Bronchopneumonia- the caseous material may
spread in the bronchi and surrounding structures producing
bronchopneumonia.
 Caseous Pneumonia- when reaction spreads from alveolus to
alveolus across the pulmonary acini, a large focus of
consolidation by caseous necrosis occurs.
 Miliary TB- hematogenous spread causing miliary TB.

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