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{{Miliary tuberculosis}}
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{Infobox_Disease
{{Infobox_Disease
  | Name          = {{PAGENAME}}
  | Name          = {{PAGENAME}}
  | Image          = Miliary-TB-003.jpg
  | Image          = Miliary-TB-003.jpg
  | Caption        = Miliary tuberculosis. <br> [http://www.radswiki.net Image courtesy of RadsWiki]
  | Caption        = Miliary tuberculosis. <br> [http://www.radswiki.net Image courtesy of RadsWiki]
| DiseasesDB    =
| ICD10          = {{ICD10|A|19||a|15}}
| ICD9          = {{ICD9|018}}
| ICDO          =
| OMIM          =
| MedlinePlus    =
| MeshID        = D014391
}}
}}
{{Miliary tuberculosis}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
==Signs and Symptoms==


A patient with miliary tuberculosis will tend to present with non-specific signs such as low grade [[fever]], [[cough]], and generalized [[lymphadenopathy]]. Miliary tuberculosis can also present with [[hepatomegaly]] (40% of cases), [[splenomegaly]] (15%), [[pancreatitis]] (<5%), and multiorgan dysfunction with [[adrenal insufficiency]].<ref name="Lessnau"/>
{{SK}} Tuberculosis - disseminated; disseminated tuberculosis; disseminated TB; extrapulmonary tuberculosis
==[[Miliary tuberculosis overview|Overview]]==
==[[Miliary tuberculosis historical perspective|Historical Perspective]]==
 
==[[Miliary tuberculosis pathophysiology|Pathophysiology]]==
 
==[[Miliary tuberculosis causes|Causes]]==
 
==[[Miliary tuberculosis differential diagnosis|Differentiating Miliary tuberculosis from other Diseases]]==


==Diagnostic Findings==
==[[Miliary tuberculosis epidemiology and demographics|Epidemiology and Demographics]]==


===Video showing chest xray in miliary tuberculosis===
==[[Miliary tuberculosis risk factors|Risk Factors]]==
{{#ev:youtube|xmYE1BlMjno}}


===Common findings of miliary tuberculosis on chest x ray===
==[[Miliary tuberculosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
* Fine, pin point approximately 1-2mm in size, discrete, uniform distribution, soft mottlings.
* Commonly found throughout both the lungs.


[http://www.radswiki.net Images courtesy of RadsWiki]
==Diagnosis==


[[Image:Miliary-TB-002.jpg|left|thumb|350px|Miliary tuberculosis]]
[[Miliary tuberculosis history and symptoms|History and Symptoms]] | [[Miliary tuberculosis physical examination|Physical Examination]] | [[Miliary tuberculosis laboratory findings|Laboratory Findings]] | [[Miliary tuberculosis chest x ray|Chest X Ray]] | [[Miliary tuberculosis CT|CT]] | [[Miliary tuberculosis MRI|MRI]] | [[Miliary tuberculosis other imaging findings|Other Imaging Findings]] | [[Miliary tuberculosis other diagnostic studies|Other Diagnostic Studies]]
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[[Image:Miliary-TB-003.jpg|left|thumb|350px|Miliary tuberculosis]]
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[[Image:Miliary-TB-004.jpg|left|thumb|350px|Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 001.jpg|left|thumb|350px|FLAIR: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 002.jpg|left|thumb|350px|FLAIR: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 003.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 004.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 005.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 006.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 007.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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[[Image:Miliary tuberculosis 008.jpg|left|thumb|350px|T1 with GAD: Miliary tuberculosis]]
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==Treatment==
==Treatment==
:''See:'' [[Tuberculosis treatment]]
Miliary TB is a serious condition; untreated miliary TB is almost always fatal.  About 25% of patients with miliary TB also have [[tuberculous meningitis]].  The standard treatment recommended by the [[World Health Organisation|WHO]] is with [[isoniazid]] and [[rifampicin]] for six months, as well as [[ethambutol]] and [[pyrazinamide]] for the first two months.  If there is evidence of [[meningitis]], then treatment is extended to twelve months.  The US guidelines recommend nine months' treatment.


== References ==
[[Miliary tuberculosis medical therapy|Medical Therapy]] | [[Miliary tuberculosis primary prevention|Primary Prevention]] | [[Miliary tuberculosis secondary prevention|Secondary Prevention]] | [[Miliary tuberculosis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Miliary tuberculosis future or investigational therapies|Future or Investigational Therapies]]
<references/>


[[da:Miliærtuberkulose]]
==Case Studies==
[[Miliary tuberculosis case study one|Case #1]]


[[Category:Tuberculosis]]
==Related Chapters==
[[Category:Bacterial diseases]]
*[[Tuberculosis]]
[[Category:Infectious disease]]


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Latest revision as of 18:05, 18 September 2017

For patient information click here

Miliary tuberculosis
Miliary tuberculosis.
Image courtesy of RadsWiki

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Overview

Historical Perspective

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Epidemiology and Demographics

Risk Factors

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Physical Examination

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Chest X Ray

CT

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Primary Prevention

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Synonyms and keywords: Tuberculosis - disseminated; disseminated tuberculosis; disseminated TB; extrapulmonary tuberculosis

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Miliary tuberculosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters