HLTB21H3 Lecture Notes - Lecture 4: Mycobacterium Tuberculosis, Miliary Tuberculosis, Hermann Brehmer

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20 Aug 2012
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Tb has been present in the human population since antiquity (agents present in animals as well) Egyptian mummies from 2400 bc show definite pathological signs of tubercular decay. The term phthisis" or consumption" appears first in greek literature homer 800bc. 460 bc - hippocrates identified phthisis" (pulmonary tb) as the most widespread and fatal disease. He warned his fellow colleagues to avoid visiting cases in the late stages of the disease. Tb was documented in egypt, india, and china as early as 5,000, 3,300, and 2,300 years ago respectively (daniel 2006) Typical skeletal abnormalities, including pott"s deformities, were found in egyptian and andean mummies. Suggestion that tuberculosis was limited to animals in prehistoric times until domestication of cattle and other animals (change in lifestyle, crowding, etc. ) Tb epidemics throughout the world likely from changes in the host population and the environment rather from the introduction of foreign pathogens.

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