The Double Burden of TB and HIV Co-Infection in Sub Saharan Africa
Abstract:
Tuberculosis
as a disease have been with human for several thousands of years now and
earliest evidence of the disease is said to have been found in a Bison dating
back 17,000 years. However, the bacillus causing the disease was identified by
Robert Koch in 1882.
Tuberculosis
is caused by Mycobacterium
tuberculosis; an aerobic bacillus [1]. It has very high lipid content in
its cell wall and this is responsible for its unique clinical features [1]. The
M. tuberculosis complex
includes five species: M.
tuberculosis, M. bovis (and bacillus Calmette-Guérin), M. canetti, M. africanum, and M. microti. Within the species
complex, most human disease is due to M.
tuberculosis sensu stricto. Important to note is M. bovis; it accounts for a small fraction of human TB cases and
is naturally resistant to the drug pyrazinamide [1]
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