Crack cocaine and infectious tuberculosis.(DISPATCHES)(Clinical report)

Emerging Infectious Diseases | September 1, 2008| | Copyright

We hypothesize that crack cocaine is independently associated with smear-positive tuberculosis (TB). In a case-control study of TB in London, 19 (86%) of 22 crack cocaine users with pulmonary TB were smear positive compared with 302 (36%) of 833 non-drug users. Respiratory damage caused by crack cocaine may predispose drug users to infectivity.

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Tuberculosis (TB) has reemerged as a public health problem in London, and drug users are at high risk of contracting and spreading the disease (1). The United Kingdom has seen a substantial increase in the ...

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