Pulmonary tuberculosis

Low urgency
Common-
This is an infection of the lungs caused by the bacteria Mycobacterium tuberculosis. It is highly contagious and is easily passed on to others by the infected person coughing or sneezing. It may spread to other organs. In most cases, the infection resolves itself without manifesting many symptoms. However, latent infection can also occur, which reactivates years later leading to symptoms such as shortness of breath, cough with mucus or blood, fatigue and fever. Apart from the medical history, an X-ray, chest tomography, mucus culture or tuberculin skin test help to reach a diagnosis. It is treated with specific antibiotics against this bacteria. It is essential to go to an emergency department so that your case can be assessed and to avoid infecting others. It may be treated at home or you may be admitted to the hospital if you are coughing blood or experiencing difficulty breathing.
Bibliographic references
  1. Anton Pozniak. Clinical manifestations and complications of pulmonary tuberculosis. UpToDate. Jan 12, 2016.
  2. Kimon C Zachary. Tuberculosis transmission and control. UpToDate. Sep 28, 2016.
  3. Kethireddy S, Light RB, Mirzanejad Y, et al. Mycobacterium tuberculosis septic shock. Chest 2013; 144:474.
  4. Young KH, Ehman M, Reves R, et al. Tuberculosis Contact Investigations--United States, 2003-2012. MMWR Morb Mortal Wkly Rep 2016; 64:1369.
  5. O'Shea MK, Koh GC, Munang M, et al. Time-to-detection in culture predicts risk of Mycobacterium tuberculosis transmission: a cohort study. Clin Infect Dis 2014; 59:177.
  6. Dorman SE, Belknap R, Graviss EA, et al. Interferon-γ release assays and tuberculin skin testing for diagnosis of latent tuberculosis infection in healthcare workers in the United States. Am J Respir Crit Care Med 2014; 189:77.
  7. García San Miguel J. Agustí-Vidal A. Tuberculosis. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición: 2297-2305.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Night sweats


    Short of breath


    Coughing up blood


    Cough


    Weight loss over the last 4-8 weeks

Symptoms to watch out for

High fever (102.2 ºF or more)
A feeling of shortness of breath
Difficulty breathing
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
If it is accompanied by seizures
Neck stiffness

Self-care

Isolate the person at home for 3 weeks from the onset of symptoms.
Ventilate enclosed spaces.
Use a triple layer N95 mask.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Relative rest, rest until symptoms subside.
Maintain a fluid intake of 6 - 8 cups per day.
Consult your general practitioner about the prescription of antituberculosis drugs.