Skip to main content

Tuberculosis

Michael C. Stefanowicz, DO Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Active tuberculosis (TB)

    • Primary infection or reactivation of latent infection

    • Without preventive therapy, affects 10% of infected individuals

    • Risk increases with immunosuppression: hig...

DIAGNOSIS

HISTORY

  • Known exposure to individual with active TB

  • Immunosuppression

  • Tobacco use; recreational drug use

  • Signs and symptoms

    • General: fever, night sweats, unintentional weight loss, malaise, painl...

TREATMENT

GENERAL MEASURES

  • If clinical suspicion, treat immediately. Prescribing physician is responsible for treatment completion.

  • Respiratory and droplet precautions

  • Not infectious if favorable clinica...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monthly sputum for AFB smear and culture until two consecutive cultures are negative; must confirm this prior to starting continuation phase

  • Mont...

REFERENCES

1
Sosa LE, Njie GJ, Lobato MN, et al. Tuberculosis screening, testing, and treatment of U.S. health care personnel: Recommendations from the National Tuberculosis Controllers Association and...

ADDITIONAL READING

SEE ALSO

  • Tuberculosis, CNS; Tuberculosis, Latent (LTBI); Tuberculosis, Miliary

  • Algorithm: Weight Loss, Unintentional

CODES

ICD10

  • A15.9 Respiratory tuberculosis, unspecified

  • A15.0 Tuberculosis of lung

  • A19.9 Miliary tuberculosis, unspecified

  • A18.89 Tuberculosis of other sites

  • A17.9 Tuberculosis of nervous system, unspecifi...

CLINICAL PEARLS

  • TB is fully curable when treated appropriately.

  • Children and elderly patients exhibit fewer classic clinical features of TB.

  • TST and IGRA cannot discern active TB from LTBI.

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×