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pulmonary tuberculosis…

 

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tuberculosis, in the kidney, tuberculosis, in the lung, tuberculosis, advanced, chest x-rays, pulmonary nodule, front view chest x-ray, pulmonary nodule, solitary, ct scan, miliary tuberculosis, tuberculosis, the lungs, erythema nodosum associated, sarcoidosis, respiratory system, tb, tuberculosis, pulmonary, consumption, pulmonary tuberculosis, tb, contagious bacterial infection, mycobacterium tuberculosis, m, tuberculosis, lungs, primarily involved, the infection, spread to other organs, tuberculosis, develop after inhaling droplets sprayed, air, a cough, sneeze by someone infected, m, tuberculosis, disease is characterized by the development of granulomas, granular tumors, infected tissues, usual site, lungs, organs involved, primary stage, the infection, asymptomatic, united states, majority of people, recover from primary tb infection, further evidence, primary pulmonary tb develops, in the minority of people whose immune systems, not successfully contain the primary infection, in this case, weeks, primary infection, tb, lie dormant, reappear, initial infection is contained, infants, elderly, individuals who, immunocompromised, aids, undergoing chemotherapy, transplant recipients taking antirejection medications, at higher risk, progression to disease, reactivation of dormant disease, in pulmonary tb, extent, from minimal to massive involvement, effective therapy, disease becomes progressively worse, risk of contracting tb increases, the frequency of contact, crowded, unsanitary living conditions, poor nutrition, has been an increase in cases of tb, factors, contribute, increase in tuberculous infection, population, increase in hiv infection, increase in number of homeless individuals, poor environment, poor nutrition, appearance of drug-resistant strains of tb, incomplete treatment of tb infections, failure to take medications, prescribed length of time, contribute, emergence of drug-resistant strains of bacteria, individuals, immune systems damaged by aids have a higher risk of developing active tuberculosis, either from new exposure to tb, reactivation of dormant mycobacteria, the aid of an active immune system, treatment is more difficult, disease is more resistant to therapy, 10 cases of tb per 100, 000 people, dramatically by area of residence, socio-economic class, see, disseminated tuberculosis, affects the whole body, atypical mycobacterial infection, limited to minor cough, mild fever, apparent, fatigue, unintentional weight loss, coughing up blood, fever, night sweats, phlegm-producing cough, additional symptoms that associated, wheezing, excessive sweating, at night, chest pain, breathing difficulty, examination, the lungs by stethoscope, reveal crackles, unusual breath sounds, enlarged, tender lymph nodes present, in the neck, areas, fluid detectable around a lung, clubbing, the fingers, toes present, tests may, chest x-ray, sputum cultures, tuberculin skin test, bronchoscopy, thoracentesis, chest ct, interferon, ifn, -gamma blood test, type of test looks, an immune response to proteins produced by m, tuberculosis, in december 2004, fda approved the quantiferon-tb gold, qft-gold, an alternate, traditional tuberculin skin test, tst, biopsy, the affected tissue, lungs, pleura, lymph nodes, goal of treatment, cure the infection, antitubercular drugs, daily oral doses of multiple drugs, combinations of rifampin, isoniazid, pyrazinamide, ethambutol, occasionally others, culture results show the drug sensitivity, the mycobacterial infection, helps to guide the selection of drug therapy, treatment is typically continued, 6 months, longer courses required, aids patients, whose disease responds slowly, atypical tuberculosis infections, drug-resistant strains, drugs, different lengths of therapy indicated to treat the infection, hospitalization indicated, prevent the spread, the disease to others, contagious period has been resolved, drug therapy, normal activity, contagious period, stress of illness helped by joining a support group where members share common experiences, lung disease, support group, improve in 2 to 3 weeks, a chest x-ray, not show this improvement, later, prognosis is excellent, pulmonary tb is diagnosed early, treatment is begun, pulmonary tb, cause permanent lung damage, not treated early, all medications, treat tb have some toxicity, rifampin, isoniazid, cause a non-infectious hepatitis, rifampin, cause an orange, brown coloration of tears, urine, taking ethambutol should have vision monitored, drug sometimes affects the eye, rash, abdominal pain, jaundice, tingling in toes, fingers a sign of drug toxicity, reported to doctor, complications include drug resistance to particular tb strains, a relapse, the disease, patients, have been exposed to tuberculosis, symptoms of tb develop, symptoms persist, new symptoms develop, indications that complications, developing, tb, preventable disease, in those, been exposed to an infected person, skin testing, ppd, tb is used in high risk populations, in individuals who, have been exposed to tb, health care workers, a positive skin test indicates prior tb exposure, preventive therapy, discussed, individuals exposed to tuberculosis, skin tested, a follow-up test, done at a later date, initial test is negative, prompt treatment is extremely important in controlling the spread of tuberculosis, already progressed to active tb disease, a bcg vaccination, prevent tb is given, countries, a high incidence of tb, its effectiveness remains controversial, not routinely used, had bcg, still be skin tested, tb, results of testing, positive, discussed, one's doctor, ferrara g, losi m, meacci m, et al, routine hospital use of a new commercial whole blood interferon-(gamma, assay, the diagnosis of tuberculosis infection, am j respir crit care med, 2005 sep 1, 172(5), 631-5, epub 2005 jun 16, centers, disease control, treatment of tuberculosis, mmwr 2003, 52, diagnostic standards, classification of tb in adults, children, am j respir crit care med 2000, 161.



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