Which of the following is not included in symptoms of tuberculosis?

Options

A. Sputum containing blood
B. Excessive fatigue
C. Night sweating and rapid pulse
D. Appearance of red patches on skin which turn black and ultimately leads to death

Answer

To determine which of the following options is not included in the symptoms of tuberculosis (TB), we will analyze each option based on our knowledge of the disease.

### Step-by-Step Solution:

1. **Understand Tuberculosis (TB)**:
- Tuberculosis is a bacterial infectious disease primarily caused by the bacterium *Mycobacterium tuberculosis*. It mainly affects the lungs but can also impact other parts of the body.

2. **Identify Common Symptoms of TB**:
- Common symptoms of TB include:
- Coughing up blood (hemoptysis)
- Excessive fatigue and weakness
- Night sweats
- Rapid pulse or increased heart rate

3. **Analyze Each Option**:
- **Option 1: Sputum containing blood**: This is a known symptom of TB, as severe lung infection can lead to blood in the sputum.
- **Option 2: Excessive Fatigue**: This is also a recognized symptom of TB, as patients often experience significant tiredness and weakness.
- **Option 3: Night Sweating and Rapid Pulse**: These are typical symptoms of TB, where patients may experience night sweats and an increased heart rate.
- **Option 4: Appearance of red patches on skin which turn black and ultimately leads to death**: This description does not relate to TB. It suggests a skin condition rather than a respiratory infection.

4. **Conclusion**:
- Based on the analysis, **Option 4** is not a symptom of tuberculosis. It describes a skin-related issue, which is not associated with TB.

### Final Answer:
**The option that is not included in the symptoms of tuberculosis is: Appearance of red patches on skin which turn black and ultimately leads to death.**

---