Factors determining susceptibility to tuberculosis
Age | Those aged less than 5 years and the elderly are susceptible |
The 5–15 age group is relatively protected | |
Racial and genetic predisposition | “Herd immunity” |
? HLA | |
? Cytokine gene defects | |
Immunological factors | HIV infection |
Steroid therapy | |
Cytotoxic drugs | |
Post-transplant immunosuppressive therapy | |
Congenital immunodeficiencies | |
Protein energy malnutrition | |
Chronic medical conditions | Diabetes mellitus |
Chronic liver or renal disease | |
Malignancies | |
Lung damage, especially silicosis | |
Stress | Endocrine factors |
Previous exposure to mycobacteria | BCG vaccination |
Exposure to environmental mycobacteria | |
Mycobacterial factors | Variation in strain virulence (?) |
Infective dose |