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== | ==Test== | ||
=== | ==Parenchymal lesions== | ||
*Tuberculoma | |||
:* Single or multiple lesions of > 0.5 cm | |||
:* May occur in primary or secundary TB | |||
:* Main finding on Chest X-ray in 5% cases of secondary TB<ref name="pmid3484866">{{cite journal| author=Woodring JH, Vandiviere HM, Fried AM, Dillon ML, Williams TD, Melvin IG| title=Update: the radiographic features of pulmonary tuberculosis. | journal=AJR Am J Roentgenol | year= 1986 | volume= 146 | issue= 3 | pages= 497-506 | pmid=3484866 | doi=10.2214/ajr.146.3.497 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3484866 }} </ref> | |||
:* Results from the surrounding of M. tuberculosis with inflammatory or connective tissue.<ref name="pmid8456658">{{cite journal| author=Lee KS, Song KS, Lim TH, Kim PN, Kim IY, Lee BH| title=Adult-onset pulmonary tuberculosis: findings on chest radiographs and CT scans. | journal=AJR Am J Roentgenol | year= 1993 | volume= 160 | issue= 4 | pages= 753-8 | pmid=8456658 | doi=10.2214/ajr.160.4.8456658 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8456658 }} </ref><ref name="pmid472765">{{cite journal| author=Palmer PE| title=Pulmonary tuberculosis--usual and unusual radiographic presentations. | journal=Semin Roentgenol | year= 1979 | volume= 14 | issue= 3 | pages= 204-43 | pmid=472765 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=472765 }} </ref><ref name="pmid3484866">{{cite journal| author=Woodring JH, Vandiviere HM, Fried AM, Dillon ML, Williams TD, Melvin IG| title=Update: the radiographic features of pulmonary tuberculosis. | journal=AJR Am J Roentgenol | year= 1986 | volume= 146 | issue= 3 | pages= 497-506 | pmid=3484866 | doi=10.2214/ajr.146.3.497 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3484866 }} </ref> | |||
:* The center of the tuberculoma is often necrotic | |||
:* Satellite lesions (80%) | |||
:* Nodular or diffused calcifications in 20-30% cases<ref name="pmid8456658">{{cite journal| author=Lee KS, Song KS, Lim TH, Kim PN, Kim IY, Lee BH| title=Adult-onset pulmonary tuberculosis: findings on chest radiographs and CT scans. | journal=AJR Am J Roentgenol | year= 1993 | volume= 160 | issue= 4 | pages= 753-8 | pmid=8456658 | doi=10.2214/ajr.160.4.8456658 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8456658 }} </ref> | |||
*Thin-walled cavity | |||
:* Present in active and inactive disease | |||
:* May regress after treatment | |||
:* Air-filled sect may persist<ref>{{cite book | last = Fraser | first = Richard | title = Synopsis of diseases of the chest | publisher = W.B. Saunders | location = Philadelphia | year = 1994 | isbn = 0721636691 }}</ref> | |||
:* May be misidentified as an emphysematous bulla or pneumatocelle. | |||
*Cicatrization: | |||
:* Common in secondary TB | |||
:* Marked fibrosis in ≤40% of secondary TB cases, which may present as: | |||
::*Upper love atelectasis | |||
::*Compensatory hyperinflation of the lower lobe | |||
::*Hilar retraction | |||
::*Mediastinal shift | |||
*Unspecific X-Ray findings:<ref name="pmid11452057">{{cite journal| author=Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH| title=Thoracic sequelae and complications of tuberculosis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 4 | pages= 839-58; discussion 859-60 | pmid=11452057 | doi=10.1148/radiographics.21.4.g01jl06839 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11452057 }} </ref> | |||
::*Parenchymal bands | |||
::*Fibrotic cavities | |||
::*Fibrotic nodules | |||
::*Traction bronchiectasis | |||
*Lung Destruction:<ref name="pmid11452057">{{cite journal| author=Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH| title=Thoracic sequelae and complications of tuberculosis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 4 | pages= 839-58; discussion 859-60 | pmid=11452057 | doi=10.1148/radiographics.21.4.g01jl06839 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11452057 }} </ref> | |||
:*Common in end-stage of TB | |||
:*Involvement of the airways and parenchyma | |||
:*May follow primary TB or secondary TB | |||
:*Spreads across the lung with cavitation and fibrosis<ref name="pmid8456658">{{cite journal| author=Lee KS, Song KS, Lim TH, Kim PN, Kim IY, Lee BH| title=Adult-onset pulmonary tuberculosis: findings on chest radiographs and CT scans. | journal=AJR Am J Roentgenol | year= 1993 | volume= 160 | issue= 4 | pages= 753-8 | pmid=8456658 | doi=10.2214/ajr.160.4.8456658 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8456658 }} </ref> | |||
:*Concomitant infection with bacteria or bacteria may occur | |||
:*Complicates assessment of TB activity in the lung with the X-ray. | |||
*[[Aspergilloma]] | |||
:*Mass of hyphae, cell debris and mucus, commonly located in a cavity or bronchus<ref name="pmid8744521">{{cite journal| author=Logan PM, Müller NL| title=CT manifestations of pulmonary aspergillosis. | journal=Crit Rev Diagn Imaging | year= 1996 | volume= 37 | issue= 1 | pages= 1-37 | pmid=8744521 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8744521 }} </ref><ref name="pmid8838945">{{cite journal| author=Miller WT| title=Aspergillosis: a disease with many faces. | journal=Semin Roentgenol | year= 1996 | volume= 31 | issue= 1 | pages= 52-66 | pmid=8838945 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8838945 }} </ref><ref name="pmid8577955">{{cite journal| author=Thompson BH, Stanford W, Galvin JR, Kurihara Y| title=Varied radiologic appearances of pulmonary aspergillosis. | journal=Radiographics | year= 1995 | volume= 15 | issue= 6 | pages= 1273-84 | pmid=8577955 | doi=10.1148/radiographics.15.6.8577955 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8577955 }} </ref> | |||
:*Previous history of chronic cavitary TB in 25-55% of cases presenting with [[aspergilloma]] | |||
:*Frequently courses with [[hemoptysis]] (50-90%) | |||
:*X-ray shows a mobile mass ringed by an air shadow | |||
:*CT shows a mobile mass, generally interspaced with air shadows | |||
:*May be calcified | |||
*Bronchogenic carcinoma<ref name="pmid11452057">{{cite journal| author=Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH| title=Thoracic sequelae and complications of tuberculosis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 4 | pages= 839-58; discussion 859-60 | pmid=11452057 | doi=10.1148/radiographics.21.4.g01jl06839 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11452057 }} </ref> | |||
:*May be misinterpreted as TB progression | |||
:*Scar formation in TB may lead to carcinoma | |||
:*May cause reactivation of TB<ref name="pmid4975011">{{cite journal| author=Snider GL, Placik B| title=The relationship between pulmonary tuberculosis and bronchogenic carcinoma. A topographic study. | journal=Am Rev Respir Dis | year= 1969 | volume= 99 | issue= 2 | pages= 229-36 | pmid=4975011 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4975011 }} </ref><ref name="pmid1265261">{{cite journal| author=Ting YM, Church WR, Ravikrishnan KP| title=Lung carcinoma superimposed on pulmonary tuberculosis. | journal=Radiology | year= 1976 | volume= 119 | issue= 2 | pages= 307-12 | pmid=1265261 | doi=10.1148/119.2.307 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1265261 }} </ref> | |||
== | ==Airway Lesions== | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | <!-- | ||
--> | |||
! style="background: #4479BA; | |||
! style="background: #4479BA; | ==Differential Diagnosis of Infectious Diarrhea== | ||
Acute inflammatory diarrhea may be caused by different pathogens. Bellow is a table describing some of these pathogens in terms of transmission and symptoms:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | |||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | |||
! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Pathogen}} | |||
! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Transmission}} | |||
| | ! style="background: #4479BA; padding: 5px 5px;" colspan=4 | {{fontcolor|#FFFFFF|Clinical Manifestations}} | ||
|- | |- | ||
! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Fever}} | |||
! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Nausea/Vomiting}} | |||
! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Abdominal Pain}} | |||
! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Bloody Stool}} | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Salmonella]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, community-acquired | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Shigella]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, person-to-person | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Campylobacter]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, ingestion of undercooked poultry | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Escherichia coli|''E. coli'' (EHEC or EIEC)]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, ingestion of undercooked hamburger meat | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Clostridium difficile]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Nosocomial spread, antibiotic use | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Yersinia]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Community-aquired, foodborne transmission | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Entamoeba histolytica]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Travel to or emigration from tropical regions | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Aeromonas]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Ingestion of contaminated water | ||
| | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
| style="padding: 5px 5px; background: # | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Plesiomonas]]'' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | Ingestion of contaminated water or undercooked shellfish, travel to tropical regions | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
|} | |} | ||
==References== | |||
{{reflist|2}} |
Latest revision as of 18:19, 16 September 2014
Test
Parenchymal lesions
- Tuberculoma
- Single or multiple lesions of > 0.5 cm
- May occur in primary or secundary TB
- Main finding on Chest X-ray in 5% cases of secondary TB[1]
- Results from the surrounding of M. tuberculosis with inflammatory or connective tissue.[2][3][1]
- The center of the tuberculoma is often necrotic
- Satellite lesions (80%)
- Nodular or diffused calcifications in 20-30% cases[2]
- Thin-walled cavity
- Present in active and inactive disease
- May regress after treatment
- Air-filled sect may persist[4]
- May be misidentified as an emphysematous bulla or pneumatocelle.
- Cicatrization:
- Common in secondary TB
- Marked fibrosis in ≤40% of secondary TB cases, which may present as:
- Upper love atelectasis
- Compensatory hyperinflation of the lower lobe
- Hilar retraction
- Mediastinal shift
- Unspecific X-Ray findings:[5]
- Parenchymal bands
- Fibrotic cavities
- Fibrotic nodules
- Traction bronchiectasis
- Lung Destruction:[5]
- Common in end-stage of TB
- Involvement of the airways and parenchyma
- May follow primary TB or secondary TB
- Spreads across the lung with cavitation and fibrosis[2]
- Concomitant infection with bacteria or bacteria may occur
- Complicates assessment of TB activity in the lung with the X-ray.
- Mass of hyphae, cell debris and mucus, commonly located in a cavity or bronchus[6][7][8]
- Previous history of chronic cavitary TB in 25-55% of cases presenting with aspergilloma
- Frequently courses with hemoptysis (50-90%)
- X-ray shows a mobile mass ringed by an air shadow
- CT shows a mobile mass, generally interspaced with air shadows
- May be calcified
- Bronchogenic carcinoma[5]
Airway Lesions
Differential Diagnosis of Infectious Diarrhea
Acute inflammatory diarrhea may be caused by different pathogens. Bellow is a table describing some of these pathogens in terms of transmission and symptoms:[11][12]
Pathogen | Transmission | Clinical Manifestations | |||
---|---|---|---|---|---|
Fever | Nausea/Vomiting | Abdominal Pain | Bloody Stool | ||
Salmonella | Foodborne transmission, community-acquired | ++ | + | ++ | + |
Shigella | Community-acquired, person-to-person | ++ | ++ | ++ | + |
Campylobacter | Community-acquired, ingestion of undercooked poultry | ++ | + | ++ | + |
E. coli (EHEC or EIEC) | Foodborne transmission, ingestion of undercooked hamburger meat | ± | + | ++ | ++ |
Clostridium difficile | Nosocomial spread, antibiotic use | + | ± | + | + |
Yersinia | Community-aquired, foodborne transmission | ++ | + | ++ | + |
Entamoeba histolytica | Travel to or emigration from tropical regions | + | ± | + | ± |
Aeromonas | Ingestion of contaminated water | ++ | + | ++ | + |
Plesiomonas | Ingestion of contaminated water or undercooked shellfish, travel to tropical regions | ± | ++ | + | + |
References
- ↑ 1.0 1.1 Woodring JH, Vandiviere HM, Fried AM, Dillon ML, Williams TD, Melvin IG (1986). "Update: the radiographic features of pulmonary tuberculosis". AJR Am J Roentgenol. 146 (3): 497–506. doi:10.2214/ajr.146.3.497. PMID 3484866.
- ↑ 2.0 2.1 2.2 Lee KS, Song KS, Lim TH, Kim PN, Kim IY, Lee BH (1993). "Adult-onset pulmonary tuberculosis: findings on chest radiographs and CT scans". AJR Am J Roentgenol. 160 (4): 753–8. doi:10.2214/ajr.160.4.8456658. PMID 8456658.
- ↑ Palmer PE (1979). "Pulmonary tuberculosis--usual and unusual radiographic presentations". Semin Roentgenol. 14 (3): 204–43. PMID 472765.
- ↑ Fraser, Richard (1994). Synopsis of diseases of the chest. Philadelphia: W.B. Saunders. ISBN 0721636691.
- ↑ 5.0 5.1 5.2 Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH (2001). "Thoracic sequelae and complications of tuberculosis". Radiographics. 21 (4): 839–58, discussion 859-60. doi:10.1148/radiographics.21.4.g01jl06839. PMID 11452057.
- ↑ Logan PM, Müller NL (1996). "CT manifestations of pulmonary aspergillosis". Crit Rev Diagn Imaging. 37 (1): 1–37. PMID 8744521.
- ↑ Miller WT (1996). "Aspergillosis: a disease with many faces". Semin Roentgenol. 31 (1): 52–66. PMID 8838945.
- ↑ Thompson BH, Stanford W, Galvin JR, Kurihara Y (1995). "Varied radiologic appearances of pulmonary aspergillosis". Radiographics. 15 (6): 1273–84. doi:10.1148/radiographics.15.6.8577955. PMID 8577955.
- ↑ Snider GL, Placik B (1969). "The relationship between pulmonary tuberculosis and bronchogenic carcinoma. A topographic study". Am Rev Respir Dis. 99 (2): 229–36. PMID 4975011.
- ↑ Ting YM, Church WR, Ravikrishnan KP (1976). "Lung carcinoma superimposed on pulmonary tuberculosis". Radiology. 119 (2): 307–12. doi:10.1148/119.2.307. PMID 1265261.
- ↑ Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
- ↑ Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA (2004). "Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study". J Trop Pediatr. 50 (6): 354–6. doi:10.1093/tropej/50.6.354. PMID 15537721.