COVID-19 and tuberculosis : the double whammy of respiratory pathogens

Copyright ©The authors 2022..

Prior to coronavirus disease 2019 (COVID-19), tuberculosis (TB) was the worst killer among infectious diseases. The union of these two obnoxious respiratory diseases can be devastating, with severe public health implications. The COVID-19 pandemic has affected all TB-elimination programmes due to the severe burden on healthcare systems and the diversion of funds and attention towards controlling the pandemic. The emerging data show that the COVID-19 pandemic caused a marked decrease in case notifications and bacille Calmette-Guérin immunisations, ultimately promoting disease transmission and increasing the susceptible population. The similarity between the clinical characteristics of TB and COVID-19 adds to the public health complications, with evidence of immune dysregulation in both cases leading to severe consequences. Clinical evidence suggests that severe acute respiratory syndrome coronavirus 2 infection predisposes patients to TB infection or may lead to reactivation of latent disease. Similarly, underlying TB disease can worsen COVID-19. Treatment options are limited in COVID-19; therefore, using immunosuppressive and immunomodulatory regimens that can modulate the concomitant bacterial infection and interaction with anti-TB drugs requires caution. Thus, considering the synergistic impact of these two respiratory diseases, it is crucial to manage both diseases to combat the syndemic of TB and COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

European respiratory review : an official journal of the European Respiratory Society - 31(2022), 164 vom: 30. Juni

Sprache:

Englisch

Beteiligte Personen:

Shariq, Mohd [VerfasserIn]
Sheikh, Javaid A [VerfasserIn]
Quadir, Neha [VerfasserIn]
Sharma, Neha [VerfasserIn]
Hasnain, Seyed E [VerfasserIn]
Ehtesham, Nasreen Z [VerfasserIn]

Links:

Volltext

Themen:

Antitubercular Agents
Journal Article
Review

Anmerkungen:

Date Completed 15.04.2022

Date Revised 15.11.2022

published: Electronic-Print

Citation Status MEDLINE

doi:

10.1183/16000617.0264-2021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339479965