
Risk factors
- Chronic lung disease
- HIV
- Overcrowding and malnutrition
- Diabetes mellitus (three-fold increase)
- Alcoholism
- Long term on treatment that suppress immune
Diagnosis
- Active tuberculosis
- First considered in those with signs of lung disease or constitutional symptoms lasting longer than two weeks. A chest X-ray and multiple sputum cultures for acid-fast bacilli are typically part of the initial evaluation. Interferon-γ release assays and tuberculin skin tests are of little use in the developing world. IGRA have similar limitations in those with HIV.
- Identifying M. tuberculosis in a clinical sample (e.g., sputum, pus, or a tissue biopsy). However, the difficult culture process for this slow-growing organism can take two to six weeks for blood or sputum culture.
- Nucleic acid amplification tests and adenosine deaminase testing may allow rapid diagnosis of TB. These tests, however, are not routinely recommended, as they rarely alter how a person is treated. Blood tests to detect antibodies are not specific or sensitive, so they are not recommended.
Medical concept, not for try.
- Active tuberculosis
- fairly standard approach. DO NOT EVER skip nor stop medication in treatment period.
- Must seek help from healthcare professional.
- Medical professionals need to keep update with new research.
- Latent tuberculosis
- fairly standard approach. DO NOT EVER skip nor stop medication in treatment period..
- Must seek help from healthcare professional.
- Medical professionals need to keep update with new research.