Questions and Answers About TB
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Glossary of Terms Related
to TB
BCG - a vaccine for TB named after the
French scientists Calmette and Guérin. BCG is not widely used in
the United States, but it is often given to infants and small children
in other countries where TB is common.
Cavity - a hole in the lung where TB bacteria have eaten
away the surrounding tissue. If a cavity shows up on your chest
x-ray, you are more likely to cough up bacteria and be infectious.
Chest x-ray - a picture of the inside of your chest. A
chest x-ray is made by exposing a film to x-rays that pass through
your chest. A doctor can look at this film to see whether TB bacteria
have damaged your lungs.
Contact - a person who has spent time with a person with
infectious TB.
Culture - a test to see whether there are TB bacteria in
your phlegm or other body fluids. This test can take 2 to 4 weeks
in most laboratories.
Directly observed therapy (DOT) - a way of helping patients
take their medicine for TB. If you get DOT, you will meet with a
health care worker every day or several times a week. You will meet
at a place you both agree on. This can be the TB clinic, your home
or work, or any other convenient location. You will take your medicine
at this place.
Extrapulmonary TB - TB disease in any part of the body
other than the lungs (for example, the kidney or lymph nodes).
HIV infection - infection with the human immunodeficiency
virus, the virus that causes AIDS (acquired immunodeficiency syndrome).
A person with both latent TB infection and HIV infection is at very
high risk for TB disease.
Infectious TB - TB disease of the lungs or throat, which
can be spread to other people.
Infectious person - a person who can spread TB to others
because he or she is coughing TB bacteria into the air.
INH or isoniazid - a drug used to prevent TB disease in
people who have latent TB infection. INH is also one of the five
drugs often used to treat TB disease.
Latent TB infection - a condition
in which TB bacteria are alive but inactive in the body. People
with latent TB infection have no symptoms, don't feel sick, can't
spread TB to others, and usually have a positive skin test reaction.
But they may develop TB disease later in life if they do not receive
treatment for latent TB infection.
Miliary TB - TB disease that has spread to the whole body
through the bloodstream.
Multidrug-resistant TB (MDR TB) - TB disease caused by
bacteria resistant to more than one drug often used to treat TB.
M. tuberculosis - bacteria that cause latent TB
infection and TB disease.
Negative - usually refers to a test result. If you have
a negative TB skin test reaction, you probably do not have
latent TB infection.
Positive - usually refers to a test result. If you have
a positive TB skin test reaction, you probably have latent
TB infection.
Pulmonary TB - TB disease that occurs in the lungs, usually
producing a cough that lasts longer than 2 weeks. Most TB disease
is pulmonary.
Resistant bacteria - bacteria that can no longer be killed
by a certain drug.
TB skin test - a test that is often used to detect latent
TB infection. A liquid called tuberculin is injected under the skin
on the lower part of your arm. If you have a positive reaction to
this test, you probably have latent TB infection.
Treatment for latent TB infection - treatment for people
with latent TB infection that prevents them from developing TB disease.
Smear - a test to see whether there are TB bacteria in
your phlegm. To do this test, lab workers smear the phlegm on a
glass slide, stain the slide with a special stain, and look for
any TB bacteria on the slide. This test usually takes 1 day.
Sputum - phlegm coughed up from deep inside the lungs.
Sputum is examined for TB bacteria using a smear; part of the sputum
can also be used to do a culture.
TB disease - an illness in which
TB bacteria are multiplying and attacking different parts of the
body. The symptoms of TB disease include weakness, weight loss,
fever, no appetite, chills, and sweating at night. Other symptoms
of TB disease depend on where in the body the bacteria are growing.
If TB disease is in the lungs (pulmonary TB), the symptoms may include
a bad cough, pain in the chest, and coughing up blood.
Tuberculin - a liquid that is injected under the skin on
the lower part of your arm during a TB skin test. If you have latent
TB infection, you will probably have a positive reaction to the
tuberculin.
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