TUBERCULOSIS Sit Dolor Amet Learning Objective: ◦ Learning about the transmission of TB. ◦ Predicting the symptoms of TB. ◦ Describing the pathogenesis of TB. ◦ Discussing the treatment of TB. ◦ Discussing ways of prevention of TB. Cause & Transmission – https://www.who.int/news-room/fact-sheets/detail/tuberculosis ◦ Look up: (5mins) ◦ ◦ ◦ ◦ ◦ The microorganism causing it. Its spread Population at risk Target system/organ Symptoms Cause & Transmission ◦ Tuberculosis is one of the most common infections in humans that infects the lung tissue. ◦ It’s caused by the bacteria Mycobacterium tuberculosis/M. bovis (in cattle). ◦ TB is spread by droplets, most commonly in crowded areas. ◦ Malnourished, immunocompromised patients are at a higher risk of being infected and developing the disease than others. ◦ Symptoms include: weakness, coughing up blood, fever, loss of appetite and weight. How does Mycobacterium Tuberculosis cause disease? Mycobacterium Tuberculosis Targets Lung Tissue Immunity cells Other tissues – (Extrapulmonary TB) How disease is caused? Primary infection Bacteria is inhaled into the lungs & starts multiplying slowly. Macrophages rush to the site and engulf the bacteria forming a tubercule. (inf. Response) Disappears in 8 weeks. If the bacteria is adapted with a waxy layer, it’ll survive the inf. response and will remain dormant, growing slowly. Active Phase They grow and multiply rapidly causing serious damage. Once the immune system is weaker, the bacteria becomes active, causing active TB. During the active phase: ◦ The bacteria multiply rapidly and the symptoms are more serious: ◦ ◦ ◦ ◦ ◦ ◦ Fever Night sweats Loss of appetite Loss of weight. Feeling tired and lack of energy. Coughing Sputum. ◦ With the infection worsening, the lung tissue suffers from further damage and the patient starts coughing up blood. ◦ Damage to the lung tissue includes breaking down of the alveolar wall ↓ air spaces ↓SA for gas exchange. How does Mycobacterium Tuberculosis cause disease? Lung Tissue • Destroys and damages lung tissue Damages the alveolar walls ↓ SA for gas exchange. Immunity System • It targets T-cells ↓Ab production Patient becomes vulnerable to opportunistic infections which may cause their death. Treatment - Medscape Diagnosis: X-rays & DNA PREVENTION ?