Tuberculosis differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Skeletal Tuberculosis | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Skeletal Tuberculosis | ||
| style="padding: 5px 5px; background: #F5F5F5;" | [[Multiple myeloma]], [[ | | style="padding: 5px 5px; background: #F5F5F5;" | [[Multiple myeloma]], bone [[metastasis]], [[spinal cord abscess]], [[osteoporosis]] | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | Tuberculous Arthrits | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | Tuberculous Arthrits | ||
| style="padding: 5px 5px; background: #F5F5F5;" | [[ | | style="padding: 5px 5px; background: #F5F5F5;" | Bacterial [[septic arthritis]], [[pseudogout]] | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Central Nervous System Tuberculosis | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Central Nervous System Tuberculosis | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Tuberculosis Peritonitis | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Tuberculosis Peritonitis | ||
| style="padding: 5px 5px; background: #F5F5F5;" |[[Bacterial peritonitis]], [[ | | style="padding: 5px 5px; background: #F5F5F5;" |[[Bacterial peritonitis]], chronic [[peritoneal dialysis]] | ||
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Revision as of 20:12, 4 September 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Pulmonary tuberculosis must be differentiated from other diseases that cause cough, fever, night sweats, hemoptysis and weight loss, such as: brucellosis, bronchogenic carcinoma, Hodgkin lymphoma, bacterial pneumonia, sarcoidosis, mycoplasmal pneumonia.
Differential Diagnosis
Pulmonary Tuberculosis
Disease | Findings |
---|---|
Bacterial pneumonia | Sudden onset of symptoms, such as high fever, cough, purulent sputum, chest pain. Consolidation on chest X-ray, leukocytosis. |
Bronchogenic carcinoma | Can be asymptomatic, usually at older ages (> 50 years old), cough, hemoptysis, weight loss |
Brucellosis | Fever, anorexia, night sweats, malaise,back pain , headache, and depression. History of exposure to infected animal |
Hodgkin lymphoma | Fever, night sweats, pruritus, painless adenopathy, mediastinal mass |
Mycoplasmal pneumonia | Gradual onset of dry cough, headache, malaise, sore throat. Diffuse bilateral infiltrates in chest X-ray. |
Sarcoidosis | Non-caseating granulomas in lungs and other organs, bilateral hiliar adenopathy, predominantly in African American females. |
Extra-Pulmonary Tuberculosis
Extra-Pulmonary Location | Differential Diagnosis |
---|---|
Tuberculous Lymphadenitis | Lymphoma, squamous cell carcinoma, papillary thyroid cancer, pyogenic infection |
Skeletal Tuberculosis | Multiple myeloma, bone metastasis, spinal cord abscess, osteoporosis |
Tuberculous Arthrits | Bacterial septic arthritis, pseudogout |
Central Nervous System Tuberculosis | Bacterial meningitis, viral meningitis, encephalitis |
Tuberculosis Peritonitis | Bacterial peritonitis, chronic peritoneal dialysis |