Mr. F, age 46 years, has had a persistent unproductive cough for several months that did not respond to cough medications. Recently, he has developed a productive cough accompanied by fatigue, anorexia, and night sweats. Examination indicated abnormal chest sounds and weight loss. A chest radiograph showed a small cavity and infiltrate, the tuberculin test was positive, and the sputum sample contained a small amount of blood and numerous acid-fast bacilli, confirming the diagnosis of active tuberculosis.
- Discuss the pathological changes occurring during the development of active tuberculosis. (See Tuberculosis.)
- Discuss the transmission of TB and the conditions predisposing to the development of TB. (See Tuberculosis—Diagnostic Tests.)
- Discuss the treatment of tuberculosis and the precautions involved for health care personnel coming into contact with the patient. (See Tuberculosis—Treatment.)
- Suggest how family members or co-workers can protect themselves.