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

### Step-by-Step Solution:

1. **Understand the Question**: The question asks for a symptom that is **not** associated with tuberculosis (TB).

2. **Identify the Symptoms of Tuberculosis**:
- Tuberculosis is primarily caused by the bacterium *Mycobacterium tuberculosis* and mainly affects the lungs.
- Common symptoms include:
- **Chronic cough**: Often accompanied by sputum that may contain blood.
- **Excessive fatigue**: Patients often feel tired and weak.
- **Night sweats**: Sudden sweating during the night.
- **Rapid pulse**: Increased heart rate can occur in infected individuals.
- **Weight loss**: Significant weight loss is also a common symptom.

3. **Analyze the Options**:
- **Option A**: Sputum containing blood - This is a symptom of TB.
- **Option B**: Excessive fatigue - This is also a symptom of TB.
- **Option C**: Night sweating - This is a symptom of TB.
- **Option D**: Appearance of red patches on skin which turn black - This is **not** a symptom of TB.

4. **Conclusion**: After analyzing the symptoms, the option that is not included in the symptoms of tuberculosis is **Option D**: Appearance of red patches on skin which turn black.

### Final Answer:
**Option D**: Appearance of red patches on skin which turn black.

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