Monday, 12 November 2012

Epidemiology: Tuberculosis

The unsoundness is also to a greater extent putting surface in blacks than in whites, partly because blacks be to a greater extent promising to live in poverty and partly because of how terabit has evolved. When Europe was ravaged by tuberculosis, white people with a higher resistance to the disease survived and passed on this resistance to afterlife generations. Ancestors of American blacks did not come in contact with the disease until they came to America and came in contact with white people (1:887).

Pathogenesis and Pathophysiology: In the U.S. today, tuberculosis is solely transmitted by inhaling indoor look contaminated with Mycobacterium tuberculosis (1:887). The air is contaminated by a psyche with active tuberculosis coughing bulge bacteria into the it. A fetus whitethorn acquire tuberculosis from its mother during birth by breathing in or swallowing infected amniotic fluid. In developing countries, children may choke infected with other mycobacterium which cause tuberculosis. Mycobacterium bovis may be transmitted in unpasteurized milk (1:887).

The repellent system of a person infected with tuberculosis unremarkably destroys the bacter


Summary Although tuberculosis was a scourge when it first appeared on the scene, today it is readily tempered and manageable in developed countries if detected early and a patient adheres to a treatment regimen. New antibiotics are highly effective in treating tuberculosis. In developed countries, tuberculosis is normally found only in the elderly, the immune compromised, or those accompaniment in unsanitary conditions. In developing nations it is more likely to be found in children under the age of five. However, the being Health Organization predicts that, without greater effort to control tuberculosis, the annual incidence of the disease is expected to increase by 41 percent between 1998 and 2000 (Dye, Garnett, Sleeman & Williams, 1998, pp. 1291).

A tuberculous infection of the brain (tuberculous meningitis) is extremely dangerous.
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Symptoms include fever, constant headache, nausea, and drowsiness that can channelise to coma. If treatment is delayed, brain damage will occur. A person with tuberculous meningitis who recovers may be left with a tumor-like fortune in the brain which may cause symptoms of muscle weakness, and the tumor may need to be removed. In children, the bacteria may infect the spine and the ends of the long bones of the arms and legs (1:889). agony occurs if the vertebrae are infected. CT scans or MRIs may be needful to detect the infection.

2. Dye, C., Garnett, G. P., Sleeman, K., & Williams, B. G. (1998). Prospects for worldwide tuberculosis control under the WHO DOTS strategy. without delay observed short-course therapy. Lancet, 352, pp. 1886-91.

Clinical Presentation: The first symptoms of tuberculosis are usually a cough and a feeling of not being well (1:887). The cough may produce a small amount of green or yellow impassiveness in the morning, which usually increases as the disease progresses. Eventually the lethargy may be streaked with blood. One of the most common symptoms is awakening in the night drenched with a common cold sweat caused by
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