TUBERCULOSIS

Tuberculosis is caused by Mycobacterium tuberculosis which mainly affects the lungs, making pulmonary disease the most common presentation. The organ system most commonly affected include the respiratory system, the gastrointestinal (GI) system, the lymph reticular system, the skin, the central nervous system, the musculoskeletal system, the reproductive system, and the liver. According to the site of infection Tuberculosis is of two type;

Pulmonary tuberculosis & extra pulmonary tuberculosis.

  1. tuberculosis is a non-spore forming, non-motile, aerobic, facultative, intracellular bacteria. The organism is neither gram-positive nor gram-negative because of very poor reaction with the Gram stain. Tuberculosis infection is resistance to several antibiotics and has ability to survive under extreme conditions such as extreme acidity or alkalinity.

Histopathology – granuloma of tuberculosis shows –

Caseation or necrosis demonstrable as a region of central eosinophilia.

Presence of Multinucleated giant cells.

Clinical features –

Productive cough for more than 3 weeks

Weight loss/anorexia

Malaise

Fever

Night sweats

Hemoptysis

Dull chest pain

Chest pain (can also result from tuberculous acute pericarditis)

Fatigue

Other clinical features manifest according to the site involved.

Diagnosis is done by Monteux tuberculin skin test, AFB smear &blood cultures, ELISA test and nucleic acid amplification test.

Management – Isoniazid, Rifampicin, Pyrazinamide, Ethambutol. The medication is prescribed for period of 6-9 months.

Physiotherapist can help in facilitating secretions and positioning of patient.

In some cases, individual might be resistant to isoniazid and Rifampicin this is known as multi drug resistant tuberculosis.

 

By -Assistant Professor – : Dr. Shakshi Naithani
Department – Dept. of Physiotherapy
UCBMSH Magazine – (YouthRainBow)
UCBMSH WEBSITE – Uttaranchal (P.G.) College Of Bio-Medical Sciences & Hospital
UCBMSH B.ED WEBSITE – Uttaranchal College of Education
UCBMSH NURSING WEBSITE – College Of Nursing UCBMSH
REGISTRATION – Apply Online
For any queries & Admission Call at: 8192007210,  8192007206, 9319924110, 8191007033

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *