| ID | 97 |
|---|---|
| Name | MILIARY TUBERCULOSIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | Investigation: See under primary and post-primary pulmonary tuberculosis |
| Management | |
| Introduction | Sometimes, in progressive primary tuberculosis rapid multiplication of M. tuberculosis leads to rupture of the lymphatics into an adjacent bronchus or pulmonary blood vessel. Thus, dissemination of infection causes a rapid progress of the disease and development of miliary tuberculosis; dissemination may also cause spread of infection in different organs of the body such as- lymph nodes, meninges, bones, skin, genitourinary organs, gastrointestinal tracts. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: 1. Usually onset is sudden with severe infection and high-rise of fever; but often follows a period of 2-3 weeks of sign-symptoms of primary tuberculosis. 2. Presence of headache in case of meningeal involvement. 3. On auscultation, initially may be normal, but later widespread crackles may be evident. 4. May be hepatosplenomegaly (25%). 5. Anemia and leucopenia may be present. 6. Chest radiograph- reveals fine small lesions (l-2mm) throughout the lung fields (millet seeds). |
| Preventions | |
| Treatment | |
| Complications | |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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