Post tuberculosis treatment infectious complications
•Patients with pulmonary tuberculosis (TB) are more susceptible to future lung disease and accelerated lung ageing.•Exacerbations of chronic obstructive pulmonary disease, bronchiectasis, and pneumonia are more frequent after pulmonary TB.•Colonization and infection with non-tuberculous mycobacteria...
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| Vydáno v: | International journal of infectious diseases Ročník 92; s. S41 - S45 |
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| Hlavní autoři: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Canada
Elsevier Ltd
01.03.2020
Elsevier |
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| ISSN: | 1201-9712, 1878-3511, 1878-3511 |
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| Abstract | •Patients with pulmonary tuberculosis (TB) are more susceptible to future lung disease and accelerated lung ageing.•Exacerbations of chronic obstructive pulmonary disease, bronchiectasis, and pneumonia are more frequent after pulmonary TB.•Colonization and infection with non-tuberculous mycobacteria (NTM) and Aspergillus fumigatus are common in individuals with a degree of pre-existing lung destruction or prior cavitary disease.•NTM and Aspergillus need to be considered in the differential diagnosis when patients present with symptoms following treatment of pulmonary TB in addition to TB recurrence or reinfection.•Thorough post screening, with radiology at treatment completion and smoking cessation, along with vaccination for influenza and pneumococcus, may help prevent future lung insults.
Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation. |
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| AbstractList | Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation. Keywords: Tuberculosis, Post-treatment complication, Sequelae, Pulmonary rehabilitation, NTM, Bronchiectasis Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation. Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation.Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation. •Patients with pulmonary tuberculosis (TB) are more susceptible to future lung disease and accelerated lung ageing.•Exacerbations of chronic obstructive pulmonary disease, bronchiectasis, and pneumonia are more frequent after pulmonary TB.•Colonization and infection with non-tuberculous mycobacteria (NTM) and Aspergillus fumigatus are common in individuals with a degree of pre-existing lung destruction or prior cavitary disease.•NTM and Aspergillus need to be considered in the differential diagnosis when patients present with symptoms following treatment of pulmonary TB in addition to TB recurrence or reinfection.•Thorough post screening, with radiology at treatment completion and smoking cessation, along with vaccination for influenza and pneumococcus, may help prevent future lung insults. Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of pulmonary infection in order to ensure optimal management and rehabilitation. |
| Author | Hasan, Rumina Visca, Dina Irfan, Muhammad Centis, Rosella Tiberi, Simon Hsu, Desmond Jabeen, Kauser Iqbal, Nousheen Migliori, Giovanni Battista Zumla, Alimuddin |
| Author_xml | – sequence: 1 givenname: Desmond surname: Hsu fullname: Hsu, Desmond email: desmond.hsu@nhs.net organization: Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK – sequence: 2 givenname: Muhammad orcidid: 0000-0002-5796-2548 surname: Irfan fullname: Irfan, Muhammad email: Muhammad.irfan@aku.edu organization: Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan – sequence: 3 givenname: Kauser orcidid: 0000-0003-2497-7847 surname: Jabeen fullname: Jabeen, Kauser email: kausar.jabeen@aku.edu organization: Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan – sequence: 4 givenname: Nousheen orcidid: 0000-0001-5026-9874 surname: Iqbal fullname: Iqbal, Nousheen email: nousheen.iqbal@aku.edu organization: Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan – sequence: 5 givenname: Rumina surname: Hasan fullname: Hasan, Rumina email: rumina.hasan@aku.edu organization: Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan – sequence: 6 givenname: Giovanni Battista orcidid: 0000-0002-2597-574X surname: Migliori fullname: Migliori, Giovanni Battista email: giovannibattista.migliori@icsmaugeri.it organization: Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy – sequence: 7 givenname: Alimuddin surname: Zumla fullname: Zumla, Alimuddin email: a.zumla@ucl.ac.uk organization: Division of Infection and Immunity, University College London and NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, UK – sequence: 8 givenname: Dina surname: Visca fullname: Visca, Dina email: dina.visca@icsmaugeri.it organization: Division of Pulmonary Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Italy – sequence: 9 givenname: Rosella orcidid: 0000-0002-8551-3598 surname: Centis fullname: Centis, Rosella email: rosella.centis@icsmaugeri.it organization: Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy – sequence: 10 givenname: Simon surname: Tiberi fullname: Tiberi, Simon email: simon.tiberi@nhs.net organization: Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK |
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| Keywords | Bronchiectasis Tuberculosis Sequelae Pulmonary rehabilitation NTM Post-treatment complication |
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