Smoking After TB 
captainman
13 y
5,646
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Hello,
So I've been searching the internet for an answer to my question, but all the pages I visit seem to be related to the risks of getting TB because of smoking. I already have had TB 8 months ago. It was in the lower right lung, a part which is apparently rarely afflicted by the disease. I found out because of a referred pain in my right shoulder, resulting in a CT scan which accidentally caught the TB patch (X-ray was negative). I was a heavy drug user who lived a horrible lifestyle for six months before I contracted TB. I also smoked about a pack a day. Once I was diagnosed, I quit smoking for four to five months. Since then, I have started smoking once again after a follow up CT scan reported that I was no longer infected. I smoke much less, perhaps 4-5 cigarettes a day. However, disturbingly, even though I am still taking medication (Rifampizin and Isoniazid, which I have taken extremely regularly, having forgotten perhaps a couple of days in the past six months), I find that this past week my referred pain has returned slightly at the same place in my shoulder, along with pain in the previously afflicted part of the lung when pressed by my finger. I stopped smoking immediately, but am getting paranoid that my TB may have relapsed. I am unable to tell my family doctor that I have been smoking even when I should have stopped (since I cannot have the news reach my family), and since she has been treating me all along, I have no one to consult. However, I have none of the other tell-tale signs of TB (weight loss, fever, night chill, massive sweating) that I had when I contracted it. Please do advise me on whether it is possible that I have relapsed, and if not, why my referred pain has begun.
- Re: Smoking After TB Sweet Tweets
13 y
4,597
This is a reply to # 1,904,790The association between smoking and TB disease is supported by substantial body of epidemiological evidence gathered over the past 50 years, which shows that smoking is a risk factor for TB infection and for the development of pulmonary TB.
Smoking increases the risk of Mycobacterium tuberculosis infection, the risk of progression from infection to disease, and the risk of death among TB patients.
Nearly 61% of TB deaths are attributable to smoking. Among children living with a patient with active pulmonary TB, passive smoking accelerates the development of active TB.
The risk of prevalence of TB infection is more among current or ex-smokers than never smokers. The risk of TB is more with the duration of smoking than the number of cigarettes smoked daily.
The biological basis by which smoking increases the TB risk may be through a decreased immune response, mechanical disruption of cilia function, defects in macrophage immune responses, and/or CD4+ lymphopenia, thereby increasing the susceptibility to pulmonary TB.
Smoking reduces the defences on the surface of the respiratory apparatus, alters the mucociliary apparatus through cell destruction and dysfunction and reduces lysozyme A activity. As a result, germs and toxic substances reach the alveolar tissue in greater numbers. Smoking also produces alterations in both natural and acquired cell immunity, affecting macrophages and leukocytes. It induces apoptosis in both activated and non-activated macrophages, leading to the multiplication of the bacilli.
Smoking influences the clinical progress of TB lesions. Smokers tend to have more cavitary disease, and greater severity despite diagnostic delays similar to those among non-smokers.
Interventions against TB should include messages to increase public awareness on the dangers of smoking. Action against smoking and hazardous lifestyles and living conditions can help reduce the impact of TB in the community.
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The only safer cigarette is your last one.
http://www.smokefreeliving.net
- Re: Smoking After TB Sweet Tweets
13 y
4,597
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