Tuberculosis: Clinical criteria

A chronic bacterial infection caused by Mycobacterium complex, including M. tuberculosis or M. bovis, characterised histopathologically by the formation of granulomas. Most infections are asymptomatic or non-progressive. The most common site of infection is the lung (pulmonary TB), where TB infection classically causes an asymmetrical pulmonary infiltrate, which undergoes caseation, cavity formation and fibrosis if it progresses. Young children with active TB disease may present with symptoms of fever, lassitude and cough. Older children and adults with active TB disease may present with symptoms of anorexia, fatigue, weight loss, chills, night sweats, cough, haemoptysis and chest pain.

Any organ can be affected by extrapulmonary TB, causing meningitis, pleurisy, pericarditis, bone or joint infection, renal infection, gastrointestinal tract infection, peritonitis or lymphadenitis, or disseminating via the bloodstream and affecting multiple organs (disseminated TB).