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Clinical aspects of TB
Bacteriology
Mycobacterium
tuberculosis
was first described by Robert Koch in 1882. There are two main species:
M. tuberculosis and M. bovis, Bacille Calmette-Guerin
(BCG) being a form of the latter. M. tuberculosis is responsible
for almost all cases of human tuberculosis. M. bovis is now
exceptionally rare in technically advanced nations due to pasteurisation
of milk.
Tubercle bacilli
are long curved rods. They do not stain easily with gram stain because
of the high cell lipid content. However, once stained, for example
by Ziehl-Nielsen stain, they strongly resist decolourisation with
acid or alcohol (and are known as acid alcohol-fast bacilli - AAFB
or AFB).
The tuberculous
mycobacteria multiply slowly (only once every 20 hours or so) in
contrast to the rapid multiplication of pyogenic bacteria.
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