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| | Medmicro Chapter 33 |
 | | With the exception of M leprae, the mycobacteria are classified into two broad categoriesmembers of the M tuberculosis complex (M tuberculosis, M bovis, M microtii, M africanum) and nontuberculous mycobacteria (virtually all other species), which often are described based on their growth rate and pigmentation with and without exposure to light. |
 | | Early in infection, mycobacteria may spread distally either indirectly through the lymphatics to the hilar or mediastinal lymph nodes and thence via the thoracic duct into the blood stream, or directly into the circulation by erosion of the developing tubercle into a pulmonary vessel. |
 | | However, the immune response to mycobacteria is a double-edged sword: the intense cell-mediated hypersensitivity that usually accompanies infection is responsible for much of the pathology associated with clinical tuberculosis. |
| gsbs.utmb.edu /microbook/ch033.htm (6623 words) |
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