TY - CHAP M1 - Book, Section TI - Chapter 34. Tuberculosis A1 - Erdman, Sharon M. A2 - Attridge, Rebecca L. A2 - Miller, Monica L. A2 - Moote, Rebecca A2 - Ryan, Laurajo PY - 2013 T2 - Internal Medicine: A Guide to Clinical Therapeutics AB - Most cases of human tuberculosis (TB) caused by Mycobacterium tuberculosis (MTB); Mycobacterium spp. are thin, rod-shaped bacteria with hydrophobic cells walls → resistant to decolorization during Gram staining (acid-fast bacilli [AFB])Risks for developing TB infection after exposure include proximity to & infectiousness of TB patient, duration of exposure, immunocompetence of exposed individual; risk of developing active TB infection highest w/in 2y of exposure; 10% of patients who acquire TB develop active infection without chemoprophylaxisCutaneous TB occurs via direct inoculation through skinTB exists as rapidly growing extracellular organisms (in cavities, where resistance may exist), slow-growing organisms (in acidic/necrotic tissue, often cause for treatment failure/relapse), or dormant organisms (alternating periods of dormancy & growth → treatment failure/relapse with inadequate therapy) SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspharmacy.mhmedical.com/content.aspx?aid=57292636 ER -