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Immunity, Infection and Forensics

Tuberculosis and HIV

  • 3 things to know
  • Papers 1 and 3

Overview

Recall questions on how each is transmitted, which cells each infects, how each evades the immune system, and how the infection progresses.

What you need to know

Answer each one before you reveal it.

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Key term

How is Mycobacterium tuberculosis transmitted between individuals?

Key term

What are granulomas (tubercles) and why do they form during TB infection?

Key term

Describe the typical progression of TB from primary infection to active disease.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    How is Mycobacterium tuberculosis transmitted between individuals?

    Model answer

    Via airborne droplets containing the bacteria, which are inhaled into the lungs.

  2. 2

    Which type of immune cell does Mycobacterium tuberculosis infect and replicate within?

    Model answer

    Alveolar macrophages.

  3. 3

    How does Mycobacterium tuberculosis evade destruction inside macrophages?

    Model answer

    It prevents fusion of the lysosome with the phagosome, avoiding exposure to digestive enzymes.

  4. 4

    What are granulomas (tubercles) and why do they form during TB infection?

    Model answer

    Granulomas are structures formed when immune cells wall off infected macrophages to contain the infection.

  5. 5

    Describe the typical progression of TB from primary infection to active disease.

    Model answer

    Primary infection is often asymptomatic: macrophages engulf the bacteria and wall them off in granulomas (tubercles), where they can remain dormant for years. If the immune system is later weakened, the bacteria become active again and destroy lung tissue; active disease involves persistent cough, blood in sputum, weight loss, night sweats and fever.

  6. 6

    What are the potential consequences of advanced TB infection?

    Model answer

    Extensive lung tissue destruction, spread to other organs, and potentially death.

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