MYCOBACTERIUM INFECTIONS (TUBERCULOSIS)
Tuberculosis (TB) is the most common bacterial cause of death in the world. Worldwide, it is the leading cause of death in HIV/AIDS patients. In the United States cases of TB have decreased to an all-time low, but cases are reported every year.
ETIOLOGY: BACTERIAL
Mycobacterium organisms are slow-growing, gram-positive, acid-fast, aerobic bacilli.
HOSTS
Humans are the ultimate reservoir for M. tuberculosis, but other animals, such as nonhuman primates, cattle, dogs, pigs, and psittacine birds, can become infected by a process known as reverse zoonosis. Cattle will test positive for TB when infected with M. tuberculosis, but generally will not become clinically ill. Pigs can become infected by eating table scraps from the table of an infected person. Granulomatous lesions develop in the gastrointestinal tract and associated lymph nodes. Dogs can develop granulomas in any part of the body, but if the pharynx is infected, the organism can be transferred back to people. Birds develop skin granulomas when infected with M. tuberculosis. Asian elephants in the United States have tested positive for M. tuberculosis and are presumably infected by their handlers. Elephants and handlers have to be tested annually.
M. bovis is found primarily in cattle and buffalo, but will infect dogs, pigs, and humans.