Miliary tuberculosis: Difference between revisions

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{{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"/>
==Diagnostic Findings==
==Diagnostic Findings==



Revision as of 13:29, 12 October 2012

Miliary tuberculosis Microchapters

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Patient Information

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

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Treatment

Medical Therapy

Primary Prevention

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Risk calculators and risk factors for Miliary tuberculosis

Miliary tuberculosis
Miliary tuberculosis.
Image courtesy of RadsWiki
ICD-10 A19
ICD-9 018
MeSH D014391

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

Diagnostic Findings

Video showing chest xray in miliary tuberculosis

{{#ev:youtube|xmYE1BlMjno}}

Common findings of miliary tuberculosis on chest x ray

  • Fine, pin point approximately 1-2mm in size, discrete, uniform distribution, soft mottlings.
  • Commonly found throughout both the lungs.

Images courtesy of RadsWiki

Miliary tuberculosis


Miliary tuberculosis


Miliary tuberculosis


FLAIR: Miliary tuberculosis


FLAIR: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


T1 with GAD: Miliary tuberculosis


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 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


da:Miliærtuberkulose


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