Life after Pulmonary Tuberculosis
Medikoe Wellness Expert
80 feet road indira nagar, Bengaluru Aug 5, 2021
Tuberculosis (TB) is a chronic multisystem disease caused due to mycobacterium TB. It spreads via droplet infection,i.e., germs expelled from the infected person's mouth while talking, sneezing or coughing. It enters the lungs of any person who inhales it. A person may fully recover to being healthy after finishing antitubercular chemotherapy. However, some are bound to suffer relapses and complications. Some of these complications include:
Bronchiectasis is a chronic condition in which the walls of the bronchi are thickened from infection and inflammation. Tuberculosis can cause bronchiectasis. A person with permanent lung damage is more prone to develop recurrent cough, blood-tinged expectancy, breathlessness and fever since the lungs can no longer effectively expel potentially toxic substances and infectious germs. The most common way to diagnose post-tuberculosis bronchiectasis is with a CT scan or a chest X-ray.
Pulmonary Aspergillosis is an infection caused due to the fungus aspergillus. Aspergillomas get developed when the fungus grows in a clump inside your lung cavity. The cavity is often created by TB or any other chronic illness. Most often, you may be asymptomatic and notice symptoms such as haemoptysis and recurrent cough. Similar to bronchiectasis, aspergilloma is generally diagnosed during imaging studies. A lot of people never develop symptoms. Often, no treatment is required unless you have blood in your cough.
Post-TB obstructive airway disease (OAD)
Although post-TB OAD (obstructive airway disease) is well-documented, tuberculosis patients are not routinely followed up or counselled for post-TB breathing difficulty, which imitates asthma. Often such patients are wrongly treated for tuberculosis on various occasions based on chronic cough, haemoptysis or expectoration.
TB stenosis is usually the result of endobronchial tuberculosis, frequently missed in patients suffering from pulmonary tuberculosis. It exists in 10 to 40 per cent of patients with pulmonary involvement. The affected group suffers from recurrent respiratory infections and progressive breathlessness, mainly because of the collapse of the lung beyond the stenotic segments. A bronchoscopic evaluation and a CT scan of the chest is frequently needed to diagnose this disorder, and a bronchoscopic or surgical treatment is the sole way to fix it.
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