Miliary tuberculosis

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Miliary tuberculosis Microchapters

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Differentiating Miliary tuberculosis from other Diseases

Epidemiology and Demographics

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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

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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


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