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Tuberculosis has been present in humans since antiquity. The earliest unambiguous detection of Mycobacterium tuberculosisis in the remains of bison dated 17,000 years before the present.[53] However, whether tuberculosis originated in cattle and then transferred to humans, or diverged from a common ancestor, is currently unclear.[54] Skeletal remains show prehistoric humans (4000 BC) had TB, and tubercular decay has been found in the spines of mummies from 3000-2400 BC.[55] Phthisis is a Greek term for tuberculosis; around 460 BC, Hippocrates identified phthisis as the most widespread disease of the times involving coughing up blood and fever, which was almost always fatal.[56] Genetic studies suggest that TB was present in South America for about 2,000 years.[57] In South America, the earliest evidence of tuberculosis is associated with the Paracas-Caverna culture.1

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