Etiological agent = Mycobacterium spp.
(gram [+], acid-fast
rods)
Tuberculosis (TB) is a disease of great historical significance
in both humans and domestic animals, but it is by no means gone.
TB IS STILL ENDEMIC/ENZOOTIC THROUGHOUT LARGE REGIONS OF THE
WORLD. ONE OUT OF EVERY 3 PEOPLE IN THE WORLD (2 BILLION PEOPLE!)
ARE ESTIMATED TO BE INFECTED AND IT REMAINS THE MOST COMMON INFECTIOUS
CAUSE OF DEATH AMONG ADULTS, KILLING 2-3 MILLION PEOPLE EACH YEAR.
Most recently, the incidence of TB has undergone a dramatic resurgence,
even in developed countries, due to the occurrence of TB in AIDS
patients and the development of multi-drug resistant Mycobacterium
strains. In 1994 for instance, there were 24,000 cases of TB among
people in the U.S.
To understand the etiology of TB, it is critical to realize
that there are multiple strains of Mycobacterium spp.,
each with its own primary reservoir species. The major strains
of interest are:
- Mycobacterium tuberculosis is the classic cause of
human TB and human beings are its primary reservoir.
- Mycobacterium bovis is the classic cause of bovine
TB and cattle are its major reservoir, although it is zoonotic
to humans.
- Mycobacterium avium (aka the "M. avium intracellulare
complex" of mycobacteria) are a group of organisms that
are found ubiquitously in the environment (soil/water) and can
infect and cause disease in humans and both domestic and wild
animals.
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