Tuberculosis

Author: Schaaf> H. Simon  

Publisher: Elsevier Health Sciences‎

Publication year: 2009

E-ISBN: 9781437711066

P-ISBN(Paperback): 9781416039884

Subject: R521 pulmonary tuberculosis

Keyword: 基础医学

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

This book provides all the vital information you need to know about tuberculosis, especially in the face of drug-resistant strains of the disease. Coverage includes which patient populations face an elevated risk of infection, as well as which therapies are appropriate and how to correctly monitor ongoing treatment so that patients are cured. Properly administer screening tests, interpret their results, and identify manifestations of the disease, with authoritative guidance from expert clinicians from around the world.Discusses screening tests for tuberculosis so you can interpret their results and identify not only common manifestations of the disease, but also those that are comparatively rare-such as tuberculosis in pregnant women.Covers all clinical aspects of tuberculosis in children, including current practices on managing those infected with HIV.Provides details on how best to interact with the public health system in both industrialized and developing countries.Addresses the social aspects of tuberculosis and presents the latest advances on new and potential vaccines against tuberculosis.Offers the expertise of internationally recognized tuberculosis clinicians to provide you with well-rounded, global coverage.Features numerous illustrations to provide clear and detailed depictions of rare manifestations of tuberculosis.

Chapter

Dedication

Acknowledgements

Abbrevations

Section 1: History and Epidemiology of Tuberculosis

Chapter 1: The history of tuberculosis: Past, present, and challenges for the future

Origins

World History

Conquests and Empires

EBB Tide

Discovery of the Cause

Diagnosis

The Search for a Cure

Chemotherapy

Prevention and Control

Challenges

References

Chapter 2: Transmission of Mycobacterium tuberculosis

Introduction and Historical Perspective

Epidemiological Data on the Determinants of Tuberculosis Transmission

Human Source Factors

Mycobacterial Factors, Strain Differences, and Interactions with Source, Environment, and Host

Human Host Factors which Affect Vulnerability to Tuberculosis Infection

Mathematical Modelling of M. Tuberculosis Transmission

Future Prospects and Other Important Considerations in Infection Control

References

Chapter 3: The global epidemiology of tuberculosis

Natural History of Tuberculosis

Tuberculosis Control: Implementation, Targets and Projections

Conclusions

References

Chapter 4: Molecular methods and their application in tuberculosis epidemiology

Introduction

The Genome of M. Tuberculosis and Regions of Epidemiological Significance

Current Genotyping Methods Used in Epidemiological Studies of Tuberculosis

The Interpretation of Molecular Epidemiology Data

The Application of Molecular Epidemiology to Tuberculosis

Summary

References

Chapter 5: Epidemiology of childhood tuberculosis

Introduction

Definitions

Transition Framework

Sources of Information

Global Estimates of Burden of Disease in Children

Epidemiology of Transitions

The Way Forward

References

Section 2: Basic Science

Chapter 6: The genus Mycobacterium and the Mycobacterium tuberculosis complex

The Mycobacteria and the Tubercle Bacillus - An Historical Introduction

Classification of the Genus Mycobacterium

The Ecology of Mycobacteria

Growth Characteristics and Metabolism of Mycobacteria

Antigenic Structure of Mycobacteria

Macromolecular Structure of Mycobacteria

Definition of the M. Tuberculosis Complex

The Genome of M. Tuberculosis and Other Mycobacteria

Genomic Aspects of Resistance to Anti-Mycobacterial Agents

Mycobacteriophages, Lysogeny, and Phage Typing

Plasmids or Episomes

The Evolution and Devolution of the M. Tuberculosis Complex

Determinants of Virulence and Pathogenicity

Conclusions

References

Chapter 7: Other mycobacteria causing human disease

Introduction

Epidemiology and Risk Factors

Bacteriology

Transmission and Pathogenesis

Clinical Presentation and Diagnosis

Treatment

Prevention of NTM Infections

References

Chapter 8: The basic immunology of tuberculosis

Introduction

Protective Immunity

Phagocytosis by Macrophages

Dendritic Cells

The Role of Toll-Like Receptors

Phagosomal Maturation and Antigen Processing

Antigen Presentation

Macrophage and Dendritic Cell Cytokine Production

The Activation of T-Lymphocytes

T-Lymphocyte and NK Cell Functions

Interferon-gamma

Chemokines, Adhesion Molecules and Cellular Migration

Microbial Elimination

Granuloma Formation and Function

Immune Responses in Children

Conclusion

References

Chapter 9: Host susceptibility and resistance to Mycobacterium tuberculosis: Genetic, neuroendocrine, and acquired factors

Introduction

Genetic Factors and Susceptibility to Tuberculosis

Environmental Factors and Susceptibility to Tuberculosis

Concluding Remarks

References

Chapter 10: Co-pathogenesis of tuberculosis and HIV

Introduction

Impact of HIV on TB

Impairment of Immune Responses to M. Tuberculosis

Impact of Antiretroviral Treatment on the Host Response to M. Tuberculosis

Impact of Tuberculoisis on HIV

Conclusions

Acknowledgements

References

Chapter 11: Tuberculosis vaccines

Introduction

The Ideal Tuberculosis Vaccine

New Tuberculosis Vaccine Approaches in Relation to the Natural History of the Disease

New Candidate Tuberculosis Vaccines

Challenges to New Tuberculosis Vaccine Development

Concluding Remarks

References

Chapter 12: Pathology and pathogenesis of tuberculosis

Basic Concepts and Definitions

Pathogenesis of Delayed-Type Hypersensitivity and Granuloma Formation

Pathogenesis of Tuberculosis

The Effect of HIV on Tuberculosis

The Effect of Tuberculosis on Tissue

References

Section 3: Natural History of Infection and Disease

Chapter 13: The natural history of Mycobacterium tuberculosis infection in adults

Introduction

Infection with M. tuberculosis

Pathogenesis of Tuberculosis

Natural History of Untreated Tuberculosis

References

Chapter 14: The natural history of tuberculosis infection and disease in children

Background

Exposure to Infection

Infection to Disease

Intrathoracic Manifestations

Principles of Disease

Summary

References

Chapter 15: Human tuberculosis due to Mycobacterium bovis and related animal pathogens

Introduction and History

Tuberculosis in Cattle and other Mammals

The Nature of Zoonotic Tuberculosis

Pathogenesis and Clinical Features of Zoonotic Tuberculosis

Changing Trends in the Occurrence of Zoonotic Tuberculosis in the Industrially Developed Nations

The Occurrence of Zoonotic Tuberculosis in the Developing World

The Epidemiology of Zoonotic Tuberculosis

Prevention of Zoonotic Tuberculosis

Therapy of Zoonotic Tuberculosis

Conclusions

References

Section 4: General Clinical Features and Diagnosis

Chapter 16: Clinical features and index of suspicion of tuberculosis in children

Introduction to Diagnosis

Diagnosis

Pulmonary Tuberculosis in HIV-Infected Children

Management Approach

References

Further Reading

Chapter 17: Clinical features and index of suspicion in adults (HIV-negative and HIV-positive)

Introduction

The Clinician's Role in Good Patient Care and Good Public Health

Approach to Diagnosis of Tuberculosis

Index of Suspicion

Conclusion

References

Chapter 18: Microbiological testing for Mycobacterium tuberculosis

Introduction

Specimen Collection, Storage, and Transport

Microscopy

Culture

Non-Culture-Based Methods of Detecting M. Tuberculosis

Susceptibility Testing

Summary

References

Chapter 19: Immune-based tests for tuberculosis

Introduction

Tuberculin Skin Testing

Interferon-gamma Release Assays

Serological Tests

Synthesis

References

Chapter 20: Nucleic acid amplification for detection of Mycobacterium tuberculosis

How They Work

The Assays

The Role of Clinical Suspicion of Mycobacterium Tuberculosis

Guidelines for Use

The Use of NAATs for the Diagnosis of Extrapulmonary Tuberculosis

Cost-Effectiveness

Use of Naa in the Rapid Detection of Drug Resistance

Conclusions

References

Chapter 21: Histopathology and cytopathology

Histopathological Diagnosis of Tuberculosis

Cytological Diagnosis of Tuberculosis

References

Chapter 22: Practical approaches to ordering diagnostic tests

Introduction

Microbiological Diagnosis of Tuberculosis

Immunological Diagnostic Tests

Aids to Diagnosis

Other Diagnostic Procedures

New tests on the horizon showing promise

Conclusion

References

Chapter 23: New diagnostics for tuberculosis

Introduction

Current State of Tuberculosis Diagnostic Testing and Laboratory Facilities

The Need for Better Tuberculosis Diagnostics

Generation of New Technologies

Prioritization of Tuberculosis Diagnostic test Development

Diagnostic Technologies

Detection of Antibody Responses to Tuberculosis Infection

Conclusions

References

Chapter 24: Imaging of tuberculosis in adults

Mycobacterium Tuberculosis

Non-Tuberculous Mycobacteria

References

Chapter 25: Imaging for tuberculosis in children

Introduction

Pulmonary Tuberculosis

Imaging Pulmonary Tuberculosis

Imaging Abdominal Tuberculosis

Imaging Tuberculosis of the Central Nervous System

Imaging Tuberculosis of the Musculoskeletal System

Conclusion

References

Chapter 26: Computed tomography, magnetic resonance imaging and PET imaging in tuberculosis

Pulmonary Tuberculosis

Extrapulmonary Tuberculosis

Positron Emission Tomography in Pulmonary and Extrapulmonary Tuberculosis

References

Chapter 27: Management algorithms for tuberculosis where there are few or no diagnostic facilities

Background

Pulmonary Tuberculosis in Adults

Extrapulmonary Tuberculosis

Tuberculosis and HIV Coinfection

Algorithms for the Management of Tuberculosis in HIV-Infected Patients Under Care

References

Chapter 28: Management algorithms for paediatric tuberculosis

Background

The Concept of Risk

Diagnosis

Treatment

Conclusion

References

Section 5: Clinical Presentations of Tuberculosis

Chapter 29: Pulmonary tuberculosis in adults

Background

Epidemiology

Pathophysiology

Symptoms and Signs

Differential Diagnosis

Investigations

Pathology

Management

Complications

Prevention

Conclusion

References

Chapter 30: Pleural effusion and empyema in adult tuberculosis

Epidemiology of Pleural Tuberculosis

Pathogenesis

Clinical Features of Pleural Tuberculosis

Diagnostic Tests

Diagnostic Approach in Resource-Constrained Settings

Treatment of Pleural Tuberculosis

Management of Empyema

Acknowledgements

References

Chapter 31: Tuberculous pericarditis and myocarditis in adults and children

Background

Epidemiology

Pathology

Symptoms and Signs

Investigations

Differential Diagnosis of Congestive Pericarditis

Management

Unanswered Questions and Controversies in Management

Prognosis

Impact of HIV Infection

Tuberculous Myocarditis

References

Chapter 32: Intrathoracic tuberculosis in children: The most common clinical presentations

Introduction

Radiological Classification of Intrathoracic Childhood Tuberculosis

Clinical Picture

Diagnostic Tests

Case Definition

Outcome of Children Treated for Tuberculosis

Future Developments

References

Chapter 33: Management of complicated intrathoracic and upper airway tuberculosis in children

Airway Disease

Pleural Disease

Expansile Pneumonia

Broncho-Oesophageal Fistula

Oesophageal Perforation

Chylothorax

Phrenic Nerve Involvement

Tuberculosis of the Upper Airways

Other Uncommon Childhood Presentations of Tuberculosis

References

Chapter 34: Overview of extrapulmonary tuberculosis in adults and children

Introduction

Pathogenesis of Extrapulmonary Tuberculosis

HIV and Extrapulmonary Tuberculosis

Treatment of Extrapulmonary Tuberculosis in Adults

Treatment of Extrapulmonary Tuberculosis in Children

Paradoxical Reactions and Immune Restoration Disease

Extrapulmonary Manifestations of Tuberculosis

References

Chapter 35: Tuberculosis lymphadenitis and involvement of the reticuloendothelial system in children

Tuberculosis Lymphadenitis

Tuberculosis of the Reticuloendothelial System in Children

References

Further Reading

Chapter 36: Tuberculosis of lymph nodes and the reticuloendothelial system in adults

Introduction

Peripheral Lymph Node Tuberculosis

Mediastinal Tuberculous Lymphadenopathy

Mesenteric Tuberculous Lymphadenopathy

Treatment of Tuberculous Lymphadenitis

Tuberculosis of the Reticuloendothelial System

References

Chapter 37: Tuberculosis of the central nervous system in adults

Introduction

Epidemiology

Symptoms and Signs

Investigations and Diagnosis

Pathology and Pathogenesis

Management

Response to Treatment and Complications

Prevention of Central Nervous System Tuberculosis

References

Chapter 38: Central nervous system tuberculosis in children

Introduction

The Pathogenesis of Tuberculous Meningitis

The Diagnosis of Tuberculous Meningitis

Special Investigations

Tuberculous Meningitis and Human Immunodeficiency Virus

Differential Diagnosis

The Management of Tuberculous Meningitis

Prognosis in Tuberculous Meningitis

Tuberculoma

References

Chapter 39: Abdominal (gastrointestinal tract) tuberculosis in adults

Introduction

Epidemiology

Pathogenesis

Type and Site of Involvement

Symptoms and Signs: Usual/Unusual Presentations

Diagnosis and Investigations

Differentiating Intestinal Tuberculosis from Crohn's Disease

Management

References

Chapter 40: Abdominal tuberculosis in children

Introduction

Epidemiology

Pathogenesis

Pathology

Clinical Presentation

Diagnosis

Differential Diagnosis

Treatment

References

Chapter 41: Tuberculosis of the kidney and urinary tract

Introduction

Pathogenesis

Clinical Manifestations

Diagnosis

Pathology

Treatment

Conclusions

Acknowledgements

References

Chapter 42: Male genital tuberculosis

Background/Introduction

Epidemiology

Symptoms and Signs

Tuberculosis and Fertility

Intravesical BCG Administration and Genital Tuberculosis

Differential Diagnosis

Investigations

Pathology

Management

Surgical

Complications

Prevention

Acknowledgement

References

Chapter 43: Female genital tuberculosis

Introduction

Prevention

Incidence

Symptoms

Physical Examination

Diagnosis

Pathology

Pregnancy

Tuberculosis of the Vulva

Cervical Tuberculosis

Endometrial Tuberculosis

Tuberculosis of the Fallopian Tubes and Infertility

Peritoneal Tuberculosis

Treatment

References

Chapter 44: Ear, nose, and throat tuberculosis in adults and children

Introduction

Tuberculosis of the Ear

Laryngeal Tuberculosis

Tuberculous Cervical Lymphadenopathy

Tuberculosis of the Nose and Paranasal Sinuses

Nasopharyngeal Tuberculosis

Oral Cavity and Oropharynx Tuberculosis

Salivary Gland Tuberculosis

Tuberculosis of the Deep Neck Spaces

Skeletal Tuberculosis

Tuberculosis of the Thyroid Gland

Aminoglycosides in Management of Drug-Resistant Tuberculosis

Conclusions

References

Chapter 45: Tuberculosis of the breast

Definition

History of Breast Tuberculosis

Indian Literature on Breast Tuberculosis

Classification of Breast Tuberculosis

Presentation

Breast Tuberculosis in Patients with HIV Infection and AIDS

Diagnosis of Breast Tuberculosis

Treatment

Conclusion

References

Chapter 46: Ocular tuberculosis in adults and children

Background

Epidemiology

Aetiopathogenesis of Ocular Tuberculosis

Signs and Symptoms

Ocular Tuberculosis in HIV-Infected Patients

Rare Presentations

Investigations and Diagnosis of Ocular Tuberculosis

Treatment of Ocular Tuberculosis

Ocular Toxicity in Antituberculosis Therapy

References

Chapter 47: Dermatological manifestations of tuberculosis in adults and children

Introduction

Classification of Cutaneous Tuberculosis

Pathogenesis and Morphology

Diagnosis

Differential Diagnosis

Treatment

Conclusion

References

Chapter 48: Musculoskeletal and spinal tuberculosis in adults and children

Introduction

Incidence and Epidemiology

Pathogenesis

Clinical Presentation

Spinal Tuberculosis (Tuberculous Spondylitis)

Osteoarticular Tuberculosis

References

Chapter 49: Tuberculosis of endocrine glands in adults and children

Introduction

Pituitary Tuberculosis

Tuberculosis of the Thyroid Gland

Tuberculosis of Parathyroid Gland

Adrenal Tuberculosis

Pancreatic Tuberculosis

Tuberculosis of Testis

Tuberculosis of Ovaries

References

Chapter 50: Surgery in the management of tuberculosis

Pulmonary Manifestations

Spinal Tuberculosis

Abdominal Tuberculosis

Genitourinary Manifestations

Tuberculous Lymphadenitis

Cardiovascular Manifestations

Miscellaneous Manifestations of Surgical Relevance

Precautions for the Surgical Staff

Conclusions

References

Section 6: Clinical Presentation of Tuberculosis in Special Situations

Chapter 51: Clinical aspects of tuberculosis in HIV-infected adults

Introduction

Epidemiology

Symptoms and Signs: Overview of the Clinical Presentation of Tuberculosis in HIV-Infected Adults

Investigations for Tuberculosis in HIV-Infected Individuals

Management

Prevention

References

Chapter 52: Multidrug-resistant tuberculosis in children

Introduction

Acquisition of MDR-TB in Children

Case Detection of MDR-TB in Children

Treatment

Contact Tracing and Chemoprophylaxis

Conclusion

References

Chapter 53: Multidrug-resistant tuberculosis in adults

Overview

Epidemiology

Laboratory Diagnosis of Resistance

Clinical Treatment of Multidrug-Resistant Tuberculosis

Conclusion

References

Chapter 54: Extensively drug-resistant tuberculosis (XDR-TB)

Introduction to Extensively Drug-Resistant Tuberculosis

Definition of Extensively Drug-Resistant Tuberculosis

Distribution of Extensively Drug-Resistant Tuberculosis Worldwide

Origin of Tuberculosis Drug Resistance

Transmission of Extensively Drug-Resistant Tuberculosis

Infection Control and Extensively Drug-Resistant Tuberculosis

Clinical Presentation and Diagnosis of Extensively Drug-Resistant Tuberculosis

Clinical Predictors of Extensively Drug-Resistant Tuberculosis

HIV and Tuberculosis

Treatment of Extensively Drug-Resistant Tuberculosis

Global Strategic Response to Extensively Drug-Resistant Tuberculosis

Future Research and Development Relating to Extensively Drug-Resistant Tuberculosis

References

Suggested Further Reading/Resources

Chapter 55: Tuberculosis in non-HIV immunosuppressed patients

Disease-Associated Susceptibility to Tuberculosis

Diabetes Mellitus

Silicosis

Tuberculosis in Patients with Renal Failure

Tuberculosis in Patients with Neoplasia

Aging and Tuberculosis

Iatrogenic Causes of Increased Risk of Tuberculosis Infection/Disease

Corticosteroid Use and Risk of Tuberculosis

Tuberculosis in Organ Transplant Patients

Tuberculosis Following Gastrectomy

Tuberculosis Following Jejunoileal Bypass Surgery

Anti-Tumour Necrosis Factor-alpha Agents

References

Chapter 56: Tuberculosis in pregnancy and in the neonate

Introduction

Pathogenesis of Perinatal Tuberculosis

Vertical Transmission of Tuberculosis

Clinical Features of Tuberculosis in the Neonatal Period

Criteria for Investigation of the Neonate

Clinical Features of Tuberculosis in Pregnant Women

Progression of Tuberculosis in Pregnancy

Investigations of Pregnant Women and Mothers with Tuberculosis

Pregnancy Outcomes

Management of the Pregnant Woman with Tuberculosis

Management of the Neonate Exposed to Maternal Tuberculosis

Tuberculosis and HIV Infection

Conclusions

References

Chapter 57: Tuberculosis outbreaks in confined situations

Introduction

Healthcare Settings

Assisted Living Situations

Forced and Other Long-Term Living Situations

Occasional or Temporary Living Situations

Regular Congregate Settings

Occasional Congregate Settings

Conclusions and Implications

References

Section 7: Clinical Management of Tuberculosis

Chapter 58: General management of tuberculosis in different clinical settings

Introduction

Initial Presentation and Diagnosis of Tuberculosis at Health Facilities

Where Should Patients with Tuberculosis be Treated?

Referral of Patients Between Facilities

Clinic-Based Treatment

Hospital-Based Treatment

Private Practitioners and Tuberculosis Treatment

Special Situations in Tuberculosis Management

Contacts of Tuberculosis Patients

References

Chapter 59: Antituberculosis drugs

Introduction

Bactericidal Activity

Sterilizing Activity

Prevention of Resistance

Isoniazid

Rifamycins

Pyrazinamide

Ethambutol

Aminoglycosides

Capreomycin and Viomycin

Ethionamide

Cycloserine and Terizidone

Para-AminoSalicylic Acid (PAS)

Thioacetazone

Fluoroquinolones

Clarithromycin

Clofazimine

Linezolid

Amoxicillin and Clavulanic Acid

New Drugs

References

Chapter 60: Drug interactions in the treatment of HIV-related tuberculosis

Introduction

Mechanisms of Drug-Drug Interactions

Effects of Rifamycins on Non-Nucleoside Reverse-Transcriptase Inhibitors

Effect of Rifamycins on HIV-1 Protease Inhibitors

The Effects of Rifamycins on Concentrations of Drugs Used to Prevent or Treat Opportunistic Infections

Recommendations for Managing Interactions Between Rifamycins and Antiretroviral Therapy

Areas in Need of Additional Research

Conclusions

Acknowledgements

References

Chapter 61: Tuberculosis drug therapy in children

Introduction

Inclusion in the new stop TB Strategy

Recommended First-Line Drug Dosages in Children

Controversies in the Treatment of Pulmonary Tuberculosis

Controversies in the Treatment of Extrapulmonary Tuberculosis in Children

Re-Treatment Cases

Children with Tuberculosis who are Coinfected with HIV

Administering Antituberculosis Treatment and Ensuring Adherence

Adverse Effects

Chemoprophylaxis for Children Exposed to, or Infected by, Infectious Pulmonary Tuberculosis Source Cases (Treatment of Latent Tuberculosis Infection)

References

Chapter 62: Tuberculosis drug therapy in adults

Introduction

Principles of Chemotherapy

Treatment Regimens Recommended by WHO

Treatment of Multidrug-Resistant Tuberculosis

References

Chapter 63: International standards for tuberculosis care

Introduction

Standards For Diagnosis

Standards For Treatment

Standards For Public Health Responsibilities

Potential Uses of The ISTC

References

Chapter 64: Role of communities in tuberculosis care and prevention

Introduction

Community Involvement in Healthcare: Essential Terminology

Community Involvement in Tuberculosis Control: A Review of Experiences at Country Level

Defining Core Elements of Community Involvement and of a Right-Based Approach

Partnership for Health: A Work in Progress

References

Chapter 65: Operational issues, compliance, and DOTS programmes

Introduction

DOTS Services

Functional Public Health System: Ensuring long-term sustainable political, administrative, and financial commitment

Case Detection Through Quality-Assured Sputum Microscopy

Standardized Treatment with Supervision and Support

Compliance

Supervision and Monitoring

Effective Drug Supply and Logistic Management

Involvement of All Healthcare Providers

TB/HIV Linkages

Conclusion

Acknowledgements

References

Chapter 66: Management of side effects of antituberculosis drugs

Background

Factors Influencing Side Effects of Antituberculosis Treatment

Anaphylaxis and Allergy

Dermatological Side Effects

Bone and Joint Pains

Gastrointestinal Upset

Hepatotoxicity

Acute Renal Failure

Haematological Side Effects

Visual Impairment

Peripheral Neuropathy

Seizures

Vestibulo-Cochlear Toxicity

Depression and Psychosis

Other Side Effects

Management of Side Effects Using Fixed-Dose Combination Antituberculosis Drugs

References

Chapter 67: Immune reconstitution inflammatory syndrome

Introduction, Background

Epidemiology

Symptoms and Signs

Differential Diagnosis and Investigation

Management

Complications

Pathology

Prevention

References

Chapter 68: Strategic risk management for preventing the transmission of Mycobacterium tuberculosis in healthcare settings

Introduction

Risk management strategy

General infection prevention and control measures

Preventing Healthcare-Associated Tuberculosis

Prioritizing Control Measures

Summary

References

Chapter 69: Nursing care of patients with tuberculosis

Introduction

The Role of the Nurse

Person-Centred Care

Using a Nursing Care Plan

Conclusions

References

Chapter 70: Immunotherapy of tuberculosis

Introduction

Cytokine Regulation of Macrophage Activation

Granulomas and Persistence

Cytokine Dysregulation and Tuberculosis Immunopathogenesis

Immune Activation and AIDS/TUberculosis Co-Pathogenesis

Treatment and Testing Strategies

Therapeutic Vaccines

Conclusions

References

Chapter 71: Current controversies and unresolved issues in adult tuberculosis

Introduction

Annual Risk of Infection with Mycobacterium Tuberculosis

Unresolved Issues on the Nature of Mycobacterium Tuberculosis Latent Bacilli

Current Controversies and Unresolved Issues in the Diagnosis of Tuberculosis

Treatment of Multidrug-Resistant Tuberculosis: Evidence and Controversies

Cost-Effectiveness of Tuberculosis Control Strategies Among Immigrants and Refugees

The Dream of a Vaccine Against Tuberculosis. New Vaccines: Improving or Replacing BCG?

References

Chapter 72: Laboratory systems and strategies for tuberculosis

Introduction

Laboratory Methods: Strengths and Weaknesses

Programme Strategies and Requirements

Quality Management System and Network Requirements

Research

Conclusion

References

Chapter 73: Priorities in tuberculosis research

Introduction

Improved Diagnostics for Tuberculosis

Research Priorities for Improved Clinical Management of Tuberculosis in HIV-Uninfected and -Infected Individuals

Immunopathogenesis and Vaccine Studies

Improving Programme Performance and Capacity Building: Coordination of Tuberculosis and HIV/AIDS Programmes

Social Science and Implementation Research Topics in Clinical Management of Tuberculosis

Operational and Implementation Research

Epidemiological Research in National Tuberculosis Programmes

Cross-Cutting Issues

Conclusions

Acknowledgements

References

Section 8: Prevention of Tuberculosis

Chapter 74: BCG: History, evolution, efficacy, and implications in the HIV era

Introduction

History of BCG Vaccines

Genetics of BCG Vaccines

Efficacy of BCG Vaccines

BCG Vaccines in the Context of the HIV Epidemic

Diagnosis and Management of BCG Adverse Events

Classification of BCG Adverse Events

Summary

References

Chapter 75: Contact tracing and follow-up

Introduction

Background Epidemiology

Objectives of Contact Tracing

Contact Tracing in Low-Prevalence Countries

Contact Tracing in High-Prevalence Countries

New Technologies

Present Obstacles and Challenges for Optimal Contact Tracing

Conclusion

References

Chapter 76: Prophylaxis with antituberculous drugs in special situations

History of Tuberculosis Preventive Treatment

Target Groups for Tuberculosis Preventive Treatment

Tuberculosis Preventive Treatment in Special Groups

Tuberculosis Preventive Treatment Regimens

Monitoring Tuberculosis Prophylactic Treatment

Tuberculosis Preventive Treatment in Low-Income Countries

Tuberculosis Preventive Treatment: Programme Aspects

Tuberculosis Prevention in the Era of Highly Active Antiretroviral Treatment

References

Chapter 77: Issues in global tuberculosis control

Framework for Control of Communicable Diseases and Its Relationship to Tuberculosis Control

Critical Issues in Current Global Tuberculosis Control Activities

Conclusion

References

Chapter 78: National tuberculosis programmes and tuberculosis control in developing countries

Historical Aspects

Organization of National Tuberculosis Control Programmes (NTP)

Functions of National Tuberculosis Control Programmes

Technical Challenges Facing National Tuberculosis Control Programmes

The Future of National TB Control Programmes

Conclusion

References

Chapter 79: Implementation of collaborative tuberculosis/HIV activities

Background

The Programmatic Response

Programmatic Approach

Implementation of Collaborative TB/HIV Activities

Special Considerations for Implementation

Conclusion

References

Section 9: Illustrative Case Histories

Chapter 80: Pulmonary manifestations of tuberculosis in adults

Case 1: The Elderly Woman

Case 2: The Diabetic Man

Case 3: The Diabetic Farm Worker

Case 4: The HIV-Infected Domestic Worker

Case 5: The Security Guard

Case 6: The Unemployed Shack Dweller

References

Chapter 81: Extrapulmonary tuberculosis in adults

Case 1: The Farm Labourer

Case 2: The Depressed HIV-Infected Mother

Case 3: The Young Male Nurse

Case 4: The Young Man with Previous Tuberculosis

Case 5: The Adolescent Girl with Draining Sinuses

Case 6: The HIV-Infected Security Guard

References

Chapter 82: Extrapulmonary tuberculosis in children

A Child with Enlarged Cervical Lymph Nodes - A Case Report

References

Chapter 83: Tuberculous meningitis

Case 1: A Case of Delayed Diagnosis and Severe Ischaemic Brain Damage Demonstrated by Magnetic Resonance Imaging

Case 2: Dramatic Response to Ventriculoperitoneal Shunting in Acute Non-Communicating Hydrocephalus

Reference

Chapter 84: Tuberculosis of the central nervous system in adults

Introduction

Case 1: The Value of Repeated Lumbar Punctures and Simple Bacteriology

Case 2: Keeping an open Mind

Case 3: Adverse Events, Resistance, and Relapse

Acknowledgements

References

Chapter 85: Abdominal tuberculosis: Case study

Case Report

References

Chapter 86: Ear, nasal, and ocular tuberculosis

Case Report

Chapter 87: Dermatology case report : Papulonecrotic tuberculosis

Chapter 88: Tuberculosis of the hip

Case Report

Discussion

Chapter 89: Tuberculosis of the thyroid gland associated with thyrotoxicosis

Case Report

References

Chapter 90: Renal tuberculosis

Case Report

Chapter 91: Tuberculosis of epididymis

Case Report

Discussion

Chapter 92: Congenital tuberculosis

Case Report

Perinatal Clinical Presentation

Clinical Progress of the Newborn

Discussion

Recommendations

References

Chapter 93: Deteriorating tuberculosis in a HIV-infected man despite treatment: Immune reconstitution, resistance, or drug malabsorption?

Case Report

Discussion

References

Chapter 94: Unusual cases

Case Report

Discussion

References

Chapter 95: Unusual images of tuberculosis in children

Brain

Spine and Spinal Cord

Muskuloskeletal System

Chest

References

Chapter 96: Spinal tuberculosis in children: A report of a complicated case

Case Presentation

Discussion

Chapter 97: Sarcoidosis and tuberculosis: A study in mimicry

Introduction

Definition

Who Gets Sarcoidosis?

What Causes Sarcoidosis?

Clinical Features of Sarcoidosis

Diagnosis

Treatment

Case Discussion

Conclusion

References

Chapter 98: Management of an HIV-positive patient with smear-negative pulmonary tuberculosis

The First Illness and Diagnosis of HIV Infection

Diagnosis of Smear-Negative Pulmonary Tuberculosis

Treatment of Smear-Negative Pulmonary Tuberculosis

Adjunctive Treatment for HIV Infection

Progress on Antituberculosis Treatment and Art

Post-Tuberculosis Treatment

Conclusion

References

Section 10: Social and Structural Issues in Tuberculosis

Chapter 99: Gender issues in tuberculosis

Sex And Gender In Tuberculosis: Why Do They Matter?

Sex-Associated Patterns in Tuberculosis Epidemiology

Tuberculosis Infection, Disease and Gender

Diagnostic Methods And Gender

Tuberculosis Symptoms And Gender

Health-Seeking Behaviour and Gender

Treatment Adherence and Social Consequences of Tuberculosis

Gaps in Research

Policy and Programme Considerations

Acknowledgements

References

Chapter 100: Tuberculosis and migration

Introduction

Human Migration

Impact of Migration on the Dissemination of Disease

Migrants and Tuberculosis Disease in Low-Burden Countries

Migrants and Tuberculosis Disease in High-Burden Countries

Conclusions

References

Chapter 101: Tuberculosis control in the workplace

Introduction

The Workplace and Employment Sector

Economic and Social Implications of Tuberculosis in the Workplace

Occupational Risk of Tuberculosis

Management of Tuberculosis Control in the Workplace

Conclusion

References

Chapter 102: Tuberculosis and poverty

Introduction

Essential Concepts

Step 1: Establishing the Profile of Poor and Vulnerable Groups

Step 2: Assess Poverty-Related Barriers to the Accessing of Tuberculosis Services

Step 3: Take Action to Overcome Barriers to Access

Conclusion

References

Chapter 103: Clinical trials in tuberculosis

Introduction

The Design of Clinical Trials

Tuberculosis Clinical Trials

The Trial Protocol

Good Clinical Practice and Good Laboratory Practice

Trial Management and Coordination

Committees to Supervise a Trial

Data Management and Analysis

Conclusion

References

Chapter 104: Tuberculosis and social justice: A historical perspective

Class, Race and Death in the Twentieth Century

Global Poverty and the `New´ Tuberculosis

Acknowledgements

References

Chapter 105: The history of the DOTS strategy: Achievements and perspectives

Introduction

The First Revolution - The Development of Specific AntituberculoUS Chemotherapy

The Potential for Mass Benefit

Twenty Years' Success and Failure

The Second Revolution - The Development of the Styblo Model

Making Tuberculosis Control Available for All

Progress in Implementing the Dots Strategy

The stop TB Strategy

Conclusion

References

Chapter 106: The WHO Stop TB Strategy for the coming decade

Building on the Past

Challenges and Opportunities

Goals, Objectives and Targets

Components of the Strategy

Monitoring Progress and Measuring Impact

Implementing the Strategy: Progress and Challenges

References

Chapter 107: The Global Plan to Stop TB, 2006-2015

Introduction

Background

Development of the Global Plan

Results of Global Planning

Implications of the Global Plan

Conclusion

References

Appendices

Appendix 1: Conversion of units for laboratory results

Appendix 2: Tuberculosis drug information

Individual Drug Profiles

Side Effects of Antituberculosis Drugs

Drug-Drug Interactions

Sources of Information

Appendix 3: Web sources of information on tuberculosis and global organizations supporting tuberculosis control

Strengthening Basic Directly Observed Treatment, Short Course (DOTS) and Tuberculosis Control in General

Address Tuberculosis/human immunodeficiency virus (HIV), Multidrug-Resistant Tuberculosis and Other Challenges

Contribute to Health System Strengthening

Empower People with Tuberculosis and Communities

Enable and Promote Research

Other Sources

Acknowledgement

Appendix 4: Tuberculosis research funding

References

Epilogue

Keeping Pace with Increasing Knowledge on Tuberculosis

Learning from the Past

Declining Interest in Tuberculosis in the USA and Europe

Resurgence of Interest in Tuberculosis

Back to the Future - the `New Tuberculosis´: HIV Coinfection and Multidrug-Resistant Tuberculosis

Tuberculosis Anywhere is Tuberculosis Everywhere: Global Tuberculosis is a Local Problem

Difficulty in Managing Coinfection with HIV

Tuberculosis Elimination: What's to stop us?

Working Together to Control Tuberculosis

Supporting Operational, Programmatic, and Implementation Research

Future Directions Towards Tuberculosis Control

References

Index

Color Plate Section

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