1993-2018 ,u ,p vkj lh % iPphl o’kZ&vla[; vk’kk,a Nhrc : Twenty Five Years-billion Hopes The disease starts in the lungs after inhalation and has its most frequent manifestation in the lungs: pulmonary tuberculosis. The predominant feature of tuberculosis is the formation of abscesses. As long as these abscesses are contained, there is no risk of transmission (closed tuberculosis). But if these abscesses break through into the airways, the infectious content will be coughed up (open tuberculosis). Abscesses (pus illed cavities) contain billions of bacteria. People with open tuberculosis are highly infectious. More than half of people with tuberculosis eventually become infectious. The blood stream can carry bacilli to other parts of the body, where they may cause serious illness, such as meningitis or septicaemia. Almost all organs can be affected. This occurs in about 15–20% of people with tuberculosis. The risk of becoming infected and subsequently developing tuberculosis disease depends upon a number of risk factors. In prison these risk factors reinforce each other. The longer a prisoner is incarcerated the higher becomes the risk of developing tuberculosis. 43. Whether person suffering from acute pneumonia may suddenly die? Patients with pneumonia may be at risk of sudden cardiovascular collapse within the irst 72 hours. 44. Is it always possible to ind bacterial growth in pleural effusion due to pneumonia? The microbiology report which shows no bacterial growth in pleural effusion may be suggestive of syn-pneumonic effusion which may be sterile. Virus & fungus can also cause Pneumonia in addition to bacteria. 45. What is severe acute respiratory syndrome (SARS)? The short duration of symptom of breathlessness, pleural effusion and tachypnoea are suggestive of “severe acute respiratory syndrome”. FORENSIC INVESTIGATION | 43