Testing positive on a Mantoux (TB skin Test) means you have Latent TB--that you have been exposed to the TB bacteria but have no symptoms and cannot spread the disease to others. The immune system prevents the bacteria from proliferating in 90% of cases. However weakened immune defiencies and other risk factors (HIV, malnutrition, other lung diseases etc) can cause the TB bacteria to grow and multiply, and you will become symptomatic and can make others sick, which means you have Active TB.