肺结核

DeckerMed Medicine Pub Date : 2019-02-14 DOI:10.2310/im.1130
J. Parr, Michael K Leonard Jr, H. Blumberg
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引用次数: 0

摘要

结核(TB)是一种由结核分枝杆菌引起的细菌性疾病,结核分枝杆菌是一种生长相对缓慢、需氧、抗酸的杆菌(AFB)。传统上,结核病是一种肺部疾病,但也可能出现弥散性和肺外表现,特别是在免疫功能低下的人群中。结核病在人与人之间传播,通常通过吸入由感染者产生的结核分枝杆菌飞沫核而感染。如果感染发生在结核分枝杆菌进入人体后,宿主细胞介导的免疫可能含有该有机体,但不能根除所有的杆菌,导致潜伏性结核感染(LTBI)。结核分枝杆菌可以保持休眠状态并持续存在(例如,在巨噬细胞内);LTBI患者有活动性结核病复发和发展的风险。本综述包含5个图,7个表,75篇参考文献。关键词:肺结核;肺结核;肺外结核
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Tuberculosis
Tuberculosis (TB) is a bacterial disease caused by Mycobacterium tuberculosis, a relatively slow-growing, aerobic, acid-fast bacillus (AFB). Classically, TB is a pulmonary disease, but disseminated and extrapulmonary manifestations may also occur, especially in immunocompromised persons. TB is transmitted person to person and is usually contracted by inhalation of M. tuberculosis droplet nuclei generated by an infectious person. If infection occurs after M. tuberculosis enters the body, the host’s cell-mediated immunity may contain the organism but not eradicate all the bacilli, resulting in latent tuberculosis infection (LTBI). M. tuberculosis can remain dormant and persist (e.g., within macrophages); persons with LTBI are at risk for reactivation and development of active TB. This review contains 5 figures, 7 tables, and 75 references. Key Words: tuberculosis, pulmonary tuberculosis, extrapulmonary tuberculosis, tuberculosis in hiv-infected patients
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