RESPIRATORY
OLD TUBERCULOSIS
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Mode of transmission is by inhalation.
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The vast majority of M. tuberculosis infected individuals will not develop active tuberculosis.
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Reactivation of tuberculosis can be triggered by immunosuppression.
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Co-infection with HIV reduces the risk of developing active tuberculosis
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M. tuberculosis encounter the dendritic cells in the trachea.
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Detailed explanation-1: -After antibiotic treatment, reactivation of the infection can occur spontaneously or in response to immunosuppressive agents, such as glucocorticoids.
Detailed explanation-2: -Transmission of TB is by inhalation of infectious droplet nuclei containing viable bacilli (aerosol spread). Mycobacteria-laden droplet nuclei are formed when a patient with active pulmonary TB coughs and can remain suspended in the air for several hours. Sneezing or singing may also expel bacilli.
Detailed explanation-3: -Immunosuppression during Active Tuberculosis Is Characterized by Decreased Interferon- Production and CD25 Expression with Elevated Forkhead Box P3, Transforming Growth Factor-, and Interleukin-4 mRNA Levels.
Detailed explanation-4: -Reactivation tuberculosis, as the name suggests, is the reactivation of contained mycobacterial infection. Reactivation Tb is the most common form of active tuberculosis, representing 90% of the cases.