결핵의 영상학적 소견 진단 치료
- 최초 등록일
- 2010.07.02
- 최종 저작일
- 2010.05
- 17페이지/ MS 파워포인트
- 가격 500원
소개글
TB 에 관한 PPT 입니다
내과 인턴 돌며 만든 것이며 영상 및 조직 소견(x-ray 및 CT AFB stain 등등)
그림 좋은거 많이 담겨 있습니다
목차
Introduction
Definition
Latent TB
Active TB
Clinical symptoms
Diagnosis
Diagnosis Chest x-ray
Diagnosis chest CT
Diagnosis AFB stain
Diagnosis - Culture
Diagnosis - PCR
Diagnosis Mantoux skin test
Diagnosis Interferon-r assay
Treatment
본문내용
Introduction
Definition
Caused by Mycobacterium tuberculosis complex
Lung is the major site for M. tuberculosis infection
Transmitted through the air borne spread of droplet
A rod-shaped, thin aerobic bacterium
*
Active vs Latent TB
Latent TB
Remains in an inactive state after infection
No symptoms
Not contagious
Active TB
With symptoms
Contagious
Cell mediated immunity is the most deterministic factor
(Macrophage & CD4- T lymphocyte)
10% of Latent TB will eventually develop active TB
Diagnosis Interferon-r assay
QuantiFERON-TB test
Aid in the diagnosis of TB infection
Over night incubation of peripheral blood with PPD
Measurement of IFN-r released by sensitized lymphocyte
Screening for TB infection at low to moderate risk population
Sensitivity & Specificity is not known
*
Treatment
First line
Isoniazid (INH)
Ethambutol (EMB)
Rifampicin (RMP)
Pyrazinnamide (PZA)
Streptomycin (STM)
Second line
Aminoglycosides (AMK)
참고 자료
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