How long can someone with tuberculosis live?

Written by Yuan Lin Yan
Infectious Disease
Updated on September 19, 2024
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Early detection and appropriate anti-tuberculosis treatment of tuberculosis can lead to a normal lifespan once cured. However, it is important to exercise regularly and enhance immunity, since tuberculosis may recur if the body's resistance decreases. With the increase of drug-resistant tuberculosis, treatment difficulties have intensified. If it is detected late or not treated properly and the lung damage progresses to an advanced stage, it can be life-threatening, with survival ranging from days to years. When tuberculosis involves massive hemoptysis, death can occur at any time due to suffocation or hemorrhagic shock, depending on the specific condition.

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Written by Yuan Lin Yan
Infectious Disease
1min 21sec home-news-image

Can tuberculosis be cured?

Tuberculosis can be cured if it is detected early and treated promptly with standard anti-tuberculosis therapy, resulting in a very good prognosis. However, it is very unfortunate if detection is delayed or if standard treatment is not administered, as the tuberculosis may recur or infect with drug-resistant strains, causing permanent damage to lung function. Advanced pulmonary lesions or significant hemoptysis can be life-threatening. Currently, the treatment of tuberculosis involves chemotherapy, with principles including early treatment, combination therapy, appropriate dosing, regularity, and completeness, usually lasting at least six months. Common first-line anti-tuberculosis medications include isoniazid, rifampin, ethambutol, and pyrazinamide. Initially, a two-month intensive phase of treatment with isoniazid, rifampin, ethambutol, and pyrazinamide is followed by a four-month continuation phase with isoniazid and rifampin. During the treatment of tuberculosis, it is important to enhance one's resistance and immune function and to improve nutrition to facilitate recovery. (Use medications under the guidance of a doctor.)

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Written by Wang Xiang Yu
Pulmonology
1min 13sec home-news-image

What is tuberculosis?

Tuberculosis is a disease where the bacterium Mycobacterium tuberculosis infects the lungs. It is a persistent bacterium that grows slowly. Tuberculosis is an infectious disease and quite common historically, often referred to as consumption in the past, as mentioned in the novels of Lu Xun. In modern times, tuberculosis is relatively manageable if the infection has not developed resistance to drugs. Proper anti-tuberculosis treatment can result in a cure rate exceeding 90% on the first attempt. However, if the treatment is not adhered to correctly—if the patient stops taking the medication prematurely or does not follow the prescribed regimen—the bacteria may develop resistance, reducing the effectiveness of the treatment. This is particularly problematic in elderly patients, who might also experience adverse reactions to tuberculosis medications, making treatment difficult. Thus, while tuberculosis is generally treatable, infections with drug-resistant strains can be fatal if not managed properly.

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Written by Wang Xiang Yu
Pulmonology
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What department should tuberculosis patients visit?

For tuberculosis, you can visit the Department of Infectious Diseases. Infectious diseases or respiratory medicine are suitable options, and if a hospital doesn't have these specialized departments, you can consider visiting the Center for Disease Control. In smaller hospitals, below the secondary level, where such specific departments may not be available, you might also consider seeing the Department of General Internal Medicine. General Internal Medicine or typical internal medicine departments can also handle this. However, our first recommendation would still be the Respiratory Medicine Department. Some hospitals combine Infectious Diseases with other related departments, making them the preferred choice for tuberculosis patients as these departments likely have the most experience in treating such diseases.

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Written by Wang Xiang Yu
Pulmonology
1min 10sec home-news-image

Can tuberculosis be cured completely?

Whether tuberculosis can be completely cured varies from person to person. Most cases of tuberculosis, especially initial occurrences of pulmonary tuberculosis, can be cured in more than 80 to 90 percent of patients if they undergo standardized anti-tuberculosis treatment. However, it is essential that the treatment is standardized; it is not appropriate to simply take medication for one or two months and then stop when symptoms seem to disappear. The treatment duration for pulmonary tuberculosis is considered to be at least six months, and for some patients, it may even extend to a year. However, not all cases of pulmonary tuberculosis can be completely cured. A small percentage of patients may not achieve complete eradication due to resistance to tuberculosis bacteria or intolerance to the side effects of tuberculosis medications. In such cases, the prognosis might be poor, and some individuals may succumb to tuberculosis due to these factors.

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Written by Xiong Hong Hai
Infectious Disease
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Does tuberculosis cause coughing at night?

Patients with tuberculosis often experience coughing at night, as well as in the early morning. Coughing and expectorating phlegm are common symptoms of tuberculosis. They are often accompanied by low-grade fever, night sweats, afternoon fever flush, weight loss, and blood in the sputum. In severe cases, symptoms can include chest tightness and difficulty breathing. Tuberculosis can be completely cured. Once it is confirmed as a tuberculosis infection, it is necessary to undergo scientific and reasonable anti-tuberculosis treatment, taking into account the actual circumstances.