Clinical Development of TB (2)
・Factors important for disease risk: Balance between Virulence and Resistance (immunity and nature)
- Infection with close contact and from heavily positive patient
- Age: young infancy and adolescence (but, old age?)
- Immunocompromized hosts: HIV/AIDS, Diabetes, Hemodialysis
- Silicosis, Corticosteroid therapy,...
- Natural resistance: Nutrition
- Genetic traits: Lean & tall body type, gastric ulcer, specific genes?
- Psychological stress