Is tuberculosis serious?

Written by Xiong Hong Hai
Infectious Disease
Updated on November 25, 2024
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Tuberculosis is a relatively serious disease, but if it is treated and managed promptly in the early stages, it often can be brought under control and most cases can completely recover. If the disease is allowed to progress unchecked, it can develop from ordinary tuberculosis into an especially severe form of the disease, even endangering life and leading to extrapulmonary tuberculosis. The severity of tuberculosis depends largely on the extent of damage to the lungs and whether there is extrapulmonary tuberculosis. Once tuberculosis is confirmed, scientifically sound and appropriate anti-tuberculosis treatment should be undertaken.

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Does the BCG vaccine prevent tuberculosis?

The BCG vaccine primarily prevents infection by the tuberculosis bacillus, so it can prevent pulmonary tuberculosis. The protective effect of the BCG vaccine is mainly achieved through inducing a cell-mediated immune response. After vaccination, a primary infection is formed, which is processed by macrophages that transmit the antigen information to immune-active cells, leading to the differentiation and proliferation of T cells and the formation of sensitized lymphocytes. When the body is re-infected with the tuberculosis bacillus, the macrophages and sensitized lymphocytes are activated, causing a specific immune response in the body, thereby resisting the infection by the tuberculosis bacillus. Therefore, the BCG vaccine mainly prevents pulmonary tuberculosis.

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Early symptoms of tuberculosis

In the early stages of tuberculosis, as the condition is relatively mild, many patients have no symptoms or only mild symptoms. Typical symptoms include coughing, expectoration, night sweats, fatigue, low-grade fever, poor appetite, and weight loss, but these are not specific to tuberculosis. If these symptoms persist for more than two weeks, tuberculosis should be suspected, and a chest x-ray or other examinations should be performed for further clarification. If the x-ray suggests tuberculosis, further tests such as a tuberculin skin test should be conducted to confirm the diagnosis.

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Written by Wang Chun Mei
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Does tuberculosis cause fever in its initial stage?

Tuberculosis is caused by an infection of the lungs by the bacterium Mycobacterium tuberculosis, and it is a very common infectious respiratory disease clinically. Typically, the early stage of tuberculosis is accompanied by mild fever to varying degrees, usually occurring in the afternoon, along with coughing, expectoration of blood, chest tightness, shortness of breath, and even chest pain, weight loss, fatigue, and night sweats as accompanying clinical symptoms. In the early stages, the diagnosis of tuberculosis in patients is generally made through these specific clinical symptoms, along with some sputum culture and chest X-ray examinations. Usually, most patients with early-stage tuberculosis will experience symptoms of low-grade fever, but these patients have a characteristic of fever that occurs in the afternoon and does not require antipyretics as it can return to normal by itself in the evening.

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Can people with tuberculosis eat lamb?

Tuberculosis is a very common infectious disease in our country. After contracting tuberculosis, symptoms often include coughing, phlegm, hemoptysis, chest pain, low fever, night sweats, fatigue, poor appetite, and weight loss. Generally speaking, as long as one is not allergic to mutton, it can be consumed. However, if the patient has significant poor appetite and weak digestive function, it is better to eat less or avoid mutton to prevent worsening the symptoms due to indigestion. If the digestive function is still relatively good, eating mutton is alright as it is nutritious and can provide energy, benefiting the patient's recovery.

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Is tuberculosis contagious?

Not all cases of tuberculosis are infectious. Some tuberculosis cases are infectious in the early stages but become non-infectious after proper treatment. Patients with open tuberculosis are highly contagious because their sputum contains tuberculosis bacilli. These bacilli can be released into the air through coughing, sneezing, laughing, or loud speaking, and can cause infection when inhaled by others. Some tuberculosis patients do not have detectable bacilli in their sputum, and their infectiousness is relatively much lower.