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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Symptoms of pulmonary tuberculosis

Now let me talk about the symptoms of tuberculosis. Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis, which can invade many organs, with pulmonary tuberculosis being the most common. The main symptoms are respiratory symptoms and systemic symptoms. The respiratory symptoms are mainly manifested as coughing, expectoration for more than two weeks, or blood in the sputum, which are common suspicious symptoms of pulmonary tuberculosis. Generally, the cough is mild, either dry or with a small amount of mucus. When cavities form, the amount of sputum may increase, and if there is a secondary bacterial infection, the sputum may become purulent. If there is concomitant bronchial tuberculosis, it will manifest as an irritating cough. About one-third of patients will experience hemoptysis, and some may experience massive hemoptysis. If the tuberculosis lesions involve the pleura, it can manifest as chest pain. Dyspnea is more common in patients with caseous pneumonia or those with a large amount of pleural effusion. These are local symptoms. Systemic symptoms mainly manifest as fever, which is the most common manifestation, often as long-term afternoon fever, meaning it begins to rise in the afternoon or evening, drops in the morning, and then returns to normal. Some patients may also experience fatigue, night sweats, loss of appetite, weight loss, etc. Women of childbearing age may experience menstrual disorders, etc.

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Local symptoms of pulmonary tuberculosis

The local symptoms of tuberculosis primarily require us to understand where tuberculosis occurs. Currently, tuberculosis in the lung tissues, trachea, bronchi, and pleura are all classified as pulmonary tuberculosis. The primary local symptoms are still respiratory symptoms, with the most common being cough and expectoration. Patients with tuberculosis generally have a slow onset, with most experiencing cough and expectoration that can persist for two weeks or more. Some patients may also exhibit symptoms like blood in the sputum or hemoptysis. Additionally, some patients may experience other symptoms; for example, those with pleural involvement might have irritative cough, chest pain, and difficulty breathing, while those with tracheobronchial involvement might exhibit a prolonged irritative cough. Some patients may also develop bronchial stenosis, which can lead to difficulty breathing.

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How long can someone with tuberculosis live?

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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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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How is tuberculosis transmitted?

How is pulmonary tuberculosis transmitted? First, we need to know the pathogen of pulmonary tuberculosis, which is the tuberculosis bacillus. Tuberculosis bacillus is a type of bacterium that can live in our surrounding environment. Pulmonary tuberculosis also needs a source of infection, that is, a patient carrying the tuberculosis bacillus. The most common source of tuberculosis infection is usually patients with secondary pulmonary tuberculosis. Then, its mode of transmission mainly includes coughing, sneezing, laughing, and talking loudly, which can release the tuberculosis bacilli from the patient into the air, spreading them through droplets. Droplet transmission is the most important route for the spread of pulmonary tuberculosis. Additionally, pulmonary tuberculosis can also be transmitted through other routes such as the gastrointestinal tract or the skin, although these methods of transmission are less common.