New Insights Into an Old Foe- TB

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    NYU PHYSICIAN+ FALL 200722

    in December 2007 that theyoung man had lesions onthe inside of his skull, theimprint of brain membranesthat the disease has beenravaging humans for muchlonger than anyone had eversuspected.

    thought to harbor Mycobacterium tubercu-losis (M. tbM. tb

    takes hold, it literally consumes the body

    and the blood vessels that run throughinfection speaks, sings, coughs, or sneezes,the bacteria expelled linger in the air forhours, ready to invade the next victim

    disease of the poor, because it is at its most-some parts of South Africa, as many as 70

    Most bacteria or viruses that attack

    the body elicit a robust immune responsetime the bacteria have multiplied to nearly

    What are you doing in the meantime?asks Dr. Joel Ernst, chief of the Division ofvery good job of handling the infection.

    although the lungs are the primary site-and thatM. tb manages to establish achronic infection, in part by interfering -sic information that should have already-ing countries.

    effective, and the most commonly used

    -

    countries, says Suman Laal, Ph.D., asso-ciate professor of pathology and microbi-

    of Medicine and professor of microbiologyavailable drugs, underscoring the urgency

    basic research to understand the progres-constructed defenses are no match forM. tb. -

    response is from dendritic cells, gatekeepersthat initiate the immune response, dispatch-marshaled another kind of initial response

    WHITE PLAGUE. KINGS EVIL.WASTINGreally is. Egyptian mummies, skeletal remains, and -covered the fossil of a youngmale dating back some

    -

    DOCTOR:JOEL ERNST

    04

    New Insightsinto an Old Foe: TB

    BY:APOORVAMANDAVILLI

    >

    Joel Ernst,

    M.D.,holdsup a petridish filled withrecombinantE.colibacteria.

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