Tag Archives: #tuberculosis

Tuberculosis

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Tuberculosis is a serious infectious disease that mainly affects the lungs. It is caused by a bacteria called Mycobacterium tuberculosis. Tuberculosis can spread when a person with the illness coughs, sneezes, or speaks, releasing tiny droplets of germs into the air. Another person can breathe in the droplets, and the germs will enter the lungs.

When tuberculosis germs survive and multiply in the lungs, it is a TB infection. A TB infection can happen in one of three stages, each with symptoms.

Primary TB infection is the first stage of TB infection. Immune system cells find and capture the germs, which the immune system may destroy. However, some captured germs can still survive and multiply.

Most people don’t have symptoms during primary infection. Some people may have flu-like symptoms, including:

  • Low fever
  • Tiredness
  • Cough

Latent TB infection is the stage following primary TB infection. Immune system cells build a wall around lung tissue with TB germs, which keeps them under control. However, the germs survive. There aren’t any symptoms during latent TB infection.

Active TB disease happens when the immune system can’t control an infection. Germs cause disease throughout the lungs or other parts of the body. Active TB disease can happen right after primary infection, but it usually occurs after months or years of latent TB infection. Symptoms of active TB disease in the lungs begin gradually and worsen over a few weeks. Symptoms can include:

  • Cough
  • Coughing up blood or mucus
  • Chest pain
  • Pain with breathing or coughing
  • Fever
  • Chills
  • Night sweats
  • Weight loss
  • Loss of appetite
  • Tiredness
  • Not feeling well in general

Extrapulmonary tuberculosis occurs when an active TB infection spreads from the lungs to other body parts. Symptoms vary depending on what part of the body is infected. Common symptoms can include:

  • Fever
  • Chills
  • Night sweats
  • Weight loss
  • Not wanting to eat
  • Tiredness
  • Not feeling well in general
  • Pain near the site of infection

Common sites of active TB disease outside of the lungs include:

  • Kidneys
  • Liver
  • Fluid surrounding the brain and spinal cord
  • Heart muscles
  • Genitals
  • Lymph nodes
  • Bones and joints
  • Skin
  • Walls of blood vessels
  • The voice box or larynx

People with active TB infection can spread tuberculosis easily, especially in crowded spaces.

To diagnose a TB infection, a healthcare provider will perform an exam that includes:

  • Listening to you breathe with a stethoscope
  • Checking for swollen lymph nodes
  • Asking you questions about your symptoms

Your healthcare provider will order tests if:

  • Tuberculosis is suspected
  • You were likely exposed to a person with active TB disease
  • You have health risks for active TB disease

Your healthcare provider will determine whether a skin or blood test is best. X-rays, sputum tests, and other lab tests can also diagnose a TB infection.

Your healthcare provider may treat you with drug treatments if you have a latent TB infection. This is especially true for people who are at an increased risk of active TB disease. Most latent TB infections are treated for three or four months. Active TB may be treated for four, six, or nine months. Specialists in TB treatment will determine which drugs are best for you.

It is important to take every dose as instructed when your healthcare provider prescribes medication. You must complete the full course of treatment, as it is important for killing the bacteria in your body and preventing new drug-resistant bacteria.

If you are experiencing symptoms of tuberculosis, you must receive treatment from a doctor as soon as possible. You can schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Today is World TB Day – Learn the Facts About Tuberculosis

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March 24th has been designated TBglobally as “World TB Day”. The event began in 1982 is sponsored by the World Health Organization and the International Union Against Tuberculosis and Lung Disease and is intended to raise awareness that anyone can contract TB to make health professionals aware of the importance of testing people for the disease.

This date was chosen to celebrate  the discovery by Dr. Robert Koch of the Mycobacterium tuberculoisis (the bacteria that causes tuberculosis) in 1882. This important discovery was the beginning of the steps being taken to control and hopefully one day eradicate the disease. Unfortunately, TB is still one of the leading causes of death around the world.

Tuberculosis (TB) is a contagious bacterial disease that affects mainly the lungs but can also affect the kidneys, brain and the spine.  Signs and symptoms may include:
• Coughing up blood
• Fatigue
• Fever
• Chills
• Night sweats
• Loss of appetite
• Pain with breathing

TB is spread by coming into contact with the airborne droplets  of the bacteria from an infected person. People most susceptible are those who have compromised immune systems and  include people undergoing chemotherapy, have diabetes, are very young or very old, and have HIV/AIDS. There are antibiotics that given to fight the disease but depending on the strain and their resistance to treatment, may require months or years of treatment.

A routine physical usually includes a TB skin test. If you would like to schedule a physical exam and a TB test with one of our physicians, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

March 24 is World TB Day

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Tuesday, March 24 is #WorldTBDay. Many people in the United States believe that #tuberculosis, or TB, was eradicated along with other diseases like smallpox and polio. Although the overall rate of TB in the United States has declined, it might surprise you to know that Western Queens has the highest incidence of tuberculosis in New York City.

TB is an airborne respiratory disease which can spread rapidly when an infected person coughs, sneezes, or speaks. It mainly affects the lungs, but other organs such as the kidneys, spine, or brain are sometimes involved.

TB impacts all ages, races, income levels, and both genders. Most TB cases in the U.S. are brought in from foreign countries, but those at risk include people who live or work with others who have TB, including healthcare workers, the homeless, and those in group settings like nursing homes. Those with impaired immune systems like Intravenous drug users, the elderly, and HIV patients are also at risk. For someone with diabetes, the risk of contracting TB is 2-3x more likely.  However, repeated exposure to the germs is usually necessary before a person will become infected.

TB is diagnosed with a TB skin test. Additional tests to determine if a person has TB disease include X-rays and sputum tests.

Stages of TB are:

Exposure — contact or exposure to another person who is thought to have or does have TB. The exposed person will have a negative skin test, a normal chest X-ray, and no signs or symptoms of the disease.

Latent TB infection – diagnosed TB bacteria infection, but no symptoms of the disease. TB organisms can remain dormant in the body throughout life in 90 percent of people who are infected.  This person would have a positive skin test, but a normal chest X-ray.

TB disease — signs and symptoms of an active infection determined by a positive skin test and a positive chest X-ray.

The symptoms of TB may resemble other lung conditions or medical problems. If you’d like to make an appointment for a TB skin test, please contact the Ambulatory Care Center at Flushing Hospital Medical Center at 718-670-5486.

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All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.