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PATHOPHYSIOLOGY Risk Factors

PREDISPOSING FACTORS Age PRECIPITATING FACTORS Occupation Repeated close contact with infected person Recurrence of

Immunosuppressi
on Systemic Infection

Leads to
Inhalation/exposure of M. Tuberculosis

through

Airway to alveoli

causing
Inflammatory reaction & phagocytosis

causing
Accumulation of exudates in the Alveoli

Ghon Tubercle (Bacteria & Macrophages)

leads to
Necrosis (forming a cheesy mass)

Calcification/Liquifica tion

Tubercle Bacilli Immunity develops (2-6 weeks after infection) DIAGNOSIS Sputum Culture Tuberculin Skin Test Chest X-ray

causing
Bacteria become dormant

With Medical Intervention Early detection/diagnosis Multi-bacterial

Without Medical

Leads to
Reactivation of the Tubercle Bacilli (due to repeated exposure to infected individual, immunosuppression)

causing
No recurrence recurrence Ghon Tubercle Ulcerates

releasing
MEDICATION Isoniazid Rifampicin Pyrazinamide Ethambutol Inflammation of lungs Cheesy material into bronchi (bacterial become airborne)

PULMONARY TUBERCULOSIS

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