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World Health Organization : Year 2003 ; Communicable Diseases and Emerging Infectious Diseases ; Tuberculosis, No. 99.272: Tuberculosis a Manual for Medical Students

By Donald A. Enarson

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Book Id: WPLBN0000228415
Format Type: PDF eBook
File Size: 1.0 MB
Reproduction Date: 2005

Title: World Health Organization : Year 2003 ; Communicable Diseases and Emerging Infectious Diseases ; Tuberculosis, No. 99.272: Tuberculosis a Manual for Medical Students  
Author: Donald A. Enarson
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Enarson, D. A. (n.d.). World Health Organization : Year 2003 ; Communicable Diseases and Emerging Infectious Diseases ; Tuberculosis, No. 99.272. Retrieved from http://www.self.gutenberg.org/


Description
Medical Reference Publication

Excerpt
CHAPTER 1 THE BASIC SCIENCE OF TUBERCULOSIS TRANSMISSION OF THE TUBERCLE BACILLUS IN HUMANS AND THE IMMUNE RESPONSE Tuberculosis is a bacterial disease spread from one person to another principally by airborne transmission. The causal agent is Mycobacterium tuberculosis (the tubercle bacillus). In a small proportion of cases, the bacillus is transmitted to humans from infected cows through drinking non-sterilized milk. This mode of transmission plays only a minor role in the natural history of the disease in humans. Tuberculosis can affect any organ in the body. Pulmonary tuberculosis is the most frequent site of involvement; extrapulmonary tuberculosis is less frequent. Only pulmonary tuberculosis is infectious.

Table of Contents
CONTENTS Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Chapter 1: The basic science of tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 • Transmission of the tubercle bacillus in humans and the immune response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 • Tuberculosis bacteriology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 • Tuberculosis histology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Chapter 2: Tuberculosis in the individual patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 • Pulmonary tuberculosis in adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 • Extrapulmonary tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 • Specific aspects of childhood tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 • Tuberculosis and HIV infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 • Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 • Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Chapter 3: Tuberculosis as it affects the community . . . . . . . . . . . . . . . . . . . . . . . . 91 • Epidemiology of tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 • National Tuberculosis Programme principles . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 • Organization of treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 • Organization of case-finding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 • Prevention of tuberculosis and tuberculous infection . . . . . . . . . . . . . . . . . . . . 131 • Evaluation of a National Tuberculosis Programme . . . . . . . . . . . . . . . . . . . . . . 135 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

 
 



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