Is tuberculosis infectious?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 14, 2024
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Only patients whose active phlegm contains tuberculosis bacteria are infectious. Many cases of tuberculosis are actually non-contagious. For example, extrapulmonary tuberculosis, such as lymph node tuberculosis, tuberculous pleurisy, and tuberculous meningitis, are not contagious. Pulmonary tuberculosis patients, whose phlegm contains tuberculosis bacteria, are contagious and need appropriate respiratory isolation and should begin anti-tuberculosis treatment as soon as possible. Through anti-tuberculosis treatment, contagious pulmonary tuberculosis can become non-contagious.

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What should be noted in the diagnosis of tuberculosis combined with AIDS?

The diagnosis of tuberculosis in individuals infected with AIDS generally involves examining certain clinical symptoms such as coughing, expectoration, low-grade fever, night sweats, and blood in sputum. Additionally, it requires analysis of specific characteristics in chest imaging, such as tuberculosis lesions identified in chest CT scans that are relatively specific. Microbial tests on sputum, such as sputum culture and acid-fast bacillus smear, are also essential. When necessary, tests for tuberculosis-infected T-cells can be conducted to provide a comprehensive diagnosis. After diagnosing concurrent pulmonary tuberculosis, anti-tuberculosis treatment is required.

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What are some common early symptoms of tuberculosis?

Patients with tuberculosis tend to exhibit symptoms such as cough, expectoration, low-grade fever, night sweats, afternoon feverishness, and blood in sputum in the early stages. Systemic symptoms of tuberculosis include afternoon feverishness, which refers to the body temperature starting to rise in the afternoon and returning to normal by early morning. Night sweats refer to sweating profusely during sleep, which stops upon waking. These tuberculosis-related symptoms are commonly seen in the early stages of the disease.

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Written by Xiong Hong Hai
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Tuberculosis is a bacterial infection that primarily affects the lungs but can also affect other parts of the body. It is caused by the bacterium Mycobacterium tuberculosis.

Tuberculosis is mainly due to the infection of the human body by tuberculosis bacteria, which proliferate massively within the body, destroying the tissues and organs, and producing some blood syndromes related to combined toxins. Symptoms such as low-grade fever, night sweats, blood-stained sputum, and afternoon feverishness are common, and weight loss is also a common occurrence. Different forms of tuberculosis have different clinical symptoms. Tuberculosis can be cured if it is identified early and treated promptly and properly with anti-tuberculosis therapy, allowing many to recover completely.

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Written by Wang Xiang Yu
Pulmonology
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The difference between sarcoidosis and tuberculosis

Sarcoidosis and tuberculosis, although only differing by one character in Chinese, are completely different diseases. Sarcoidosis and tuberculosis share some similarities, such as their pathological changes often involving granulomas. However, in tuberculosis, the granulomas are typically caseating, while in sarcoidosis, they are non-caseating. Tuberculosis shows characteristic features under pathological examination, whereas the diagnosis of sarcoidosis is one of exclusion, requiring the ruling out of other various granulomatous diseases. Secondly, their causes are also different; tuberculosis has a very clear cause, being an infectious disease caused by the tuberculosis bacterium. Meanwhile, the cause of sarcoidosis has not been identified clearly and may be related to a variety of factors including genetics, environment, and chemicals, among others. Additionally, the clinical manifestations of both sarcoidosis and tuberculosis are not specific, and both diseases can present symptoms like coughing, expectoration, chest pain, hemoptysis, low or high fever, weight loss, and night sweats. Thus, it is quite difficult to differentiate between sarcoidosis and tuberculosis based on symptoms alone. Moreover, their treatments differ; sarcoidosis is mainly treated with corticosteroids, while the primary treatment for tuberculosis involves anti-tuberculosis therapy.

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Is pulmonary tuberculous effusion contagious?

Pulmonary hydrotuberculosis is actually caused by infection with the tuberculous bacillus, which is commonly referred to as tuberculous pleurisy. Simple tuberculous pleurisy is not contagious, because the lesions are primarily within the pleural cavity, and the pleural cavity is not connected to the outside world. Therefore, simple pulmonary hydrotuberculosis is not contagious. However, if it is accompanied by pulmonary tuberculosis, and if the examination for pulmonary tuberculosis finds tuberculous bacillus in the sputum, then it is contagious in these cases.