Can tuberculosis cause hypertension?

Generally speaking, pulmonary tuberculosis itself does not directly cause hypertension. If you experience any discomfort, it is recommended to seek medical attention promptly. The detailed analysis is as follows:

Pulmonary tuberculosis is a respiratory disease caused by infection with *Mycobacterium tuberculosis*. It primarily damages lung tissue, leading to symptoms such as coughing, hemoptysis (coughing up blood), and low-grade fever. Its pathogenesis is not directly related to the regulation of vascular pressure. Hypertension, on the other hand, is mostly associated with factors such as genetics, high-salt diet, obesity, mental stress, and decreased elasticity of blood vessel walls—the core feature being persistently elevated arterial blood pressure. The two conditions have entirely different pathophysiological processes. *Mycobacterium tuberculosis* does not directly affect the vascular system or blood pressure regulatory mechanisms; therefore, pulmonary tuberculosis itself does not directly lead to hypertension.

Patients with pulmonary tuberculosis should regularly monitor their blood pressure, especially during long-term anti-tuberculosis drug treatment. If symptoms such as dizziness or headache occur, blood pressure should be measured promptly. Maintaining a low-salt, low-fat diet, regular作息 (daily routines), avoiding excessive fatigue and emotional fluctuations can help reduce the risk of developing hypertension. It is essential to follow medical advice for standardized tuberculosis treatment—do not discontinue or adjust medication doses without guidance. Additionally, if hypertension is diagnosed, blood pressure must be managed under a doctor's supervision alongside tuberculosis treatment, ensuring both conditions are effectively controlled.