TB Fact Sheet - English

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Tuberculosis (TB)

What is Tuberculosis?
Tuberculosis (TB) is caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack
the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. Not
everyone infected with TB bacteria becomes sick. As a result, two TB-related conditions exist: latent TB
infection (LTBI) and TB disease. If not treated properly, TB disease can be fatal.

Differences Between Latent TB infection and TB Disease


Characteristics A person with Latent TB Infection A person with TB Disease …

Active or Inactive Germs? A small amount of TB germs in A large amount of active TB germs
his/ her body that are alive but in his/her body
inactive
Symptoms? No symptoms Symptoms that may include:
• A bad cough that lasts 3
weeks or longer
• Chest pain
• Coughing up blood or sputum
• Weakness or fatigue
• Weight loss
• Loss of appetite
• Chills
• Fever
• Night sweats
Sick? Does not feel sick Usually feels sick
Spread? Cannot spread TB bacteria to May spread TB bacteria to others
others
Tests? Usually has a skin test or blood Usually has a skin test or blood
test result indicating TB infection test result indicating TB infection
Follow up tests? Has a normal chest x-ray and a May have an abnormal chest x-
negative sputum smear ray, or positive sputum smear or
culture
Treatment? Needs treatment for latent TB Needs treatment to treat TB
infection to prevent TB disease disease

How is TB spread?
TB germs go into the air when someone who is sick with TB disease in the lungs coughs, sneezes, speaks
or sings. People who are living, working, or spending a lot of time with this person share the same air.
They can breathe in the TB germs and get infected with TB.
1
You cannot get TB from a person with latent TB infection.
Who is at risk for TB disease?
People at risk for getting TB infection are those who have had More Resources and Links
contact with a person with TB disease during the time they were
coughing TB germs into the air. People who have lived in parts of https://www.mass.gov/servi
the world where there is a lot of TB are at risk for having TB ce-details/tuberculosis
infection.
https://www.cdc.gov/tb/pu
Is there a test for TB infection? blications/factsheets/genera
There are two different types of tests for TB infection, a blood test l/tb.htm
and a skin test. Either test can find out if you have TB germs in
your body. With a blood test, a small amount of your blood is
taken for the test. With a skin test, a small amount of fluid is
placed under the skin of the forearm. You will need to come back
in two or three days to have your doctor or nurse read the skin
test results. If your TB test is positive, it means that you have TB
germs, and your doctor may order a chest X-ray to be sure you are
not sick with TB disease.

What is Bacille Calmette–Guèrin (BCG)?


BCG is a vaccine against TB that is given in countries where TB is
common. It can help prevent infants and small children from
getting sick with TB disease. At best BCG protects children for up
to 5 years, and sometimes it does not protect against TB at all. It is
rarely used in the United States.

Can latent TB infection be treated?


If you have latent TB infection but not TB disease, your doctor may
Quincy Health
want you to take a drug to kill the TB germs and prevent you from
developing TB disease. The decision about taking treatment for
Department
latent infection will be based on your chances of developing TB
disease. Some people are more likely than others to develop TB 440 East Squantum Street,
disease once they have TB infection. This includes people with HIV Quincy, MA, 02171
infection, people who were recently exposed to someone with TB
disease, and people with certain medical conditions. P: 617-376-1275

Can TB disease be treated?


TB disease can be treated by taking several drugs for 6 to 12
months. It is very important that people who have TB disease
finish the medicine and take the drugs exactly as prescribed. If
they stop taking the drugs too soon, they can become sick again; if
they do not take the drugs correctly, the germs that are still alive
may become resistant to those drugs. TB that is resistant to drugs
is harder and more expensive to treat. In some situations, staff of
the local health department meet regularly with patients who
have TB to watch them take their medications. This is called
directly observed therapy (DOT). DOT helps the patient complete
treatment in the least amount of time. 2

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