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The medical history includes obtaining the symptoms of pulmonary TB: productive, prolonged cough of three or more weeks, chest pain, and hemoptysis.Systemic symptoms include low grade remittent fever, chills, night sweats, appetite loss, weight loss, easy fatiguability, and production of sputum that starts out mucoid but changes to purulent. [1]
Tuberculosis of the lip, secondary to open pulmonary TB There is a popular misconception that tuberculosis is purely a disease of the lungs that manifests as coughing . [ 47 ] Tuberculosis may infect many organs, even though it most commonly occurs in the lungs (known as pulmonary tuberculosis). [ 8 ]
Blunting of costophrenic angle (in adults)—Loss of sharpness of one or both costophrenic angles. Blunting can be related to a small amount of fluid in the pleural space or to pleural thickening and, by itself, is a non-specific finding (except in children, when even minor blunting may suggest active TB).
Mycobacterium tuberculosis is the most common cause of both pulmonary tuberculosis and tuberculous lymphadenitis. [ 1 ] [ 6 ] Historically, transmission of Mycobacterium bovis from dairy consumption was another frequent cause of tuberculous lymphadenitis, but incidence has drastically decreased in developed countries since the advent of ...
Miliary tuberculosis is a form of tuberculosis that is characterized by a wide dissemination into the human body and by the tiny size of the lesions (1–5 mm). Its name comes from a distinctive pattern seen on a chest radiograph of many tiny spots distributed throughout the lung fields with the appearance similar to millet seeds—thus the term "miliary" tuberculosis.
Multiple bones are involved in children and usually only a single bone is involved in adults suffering from tuberculous dactylitis. [2] Tuberculous dactylitis affects the short tubular bones of the hands and feet in children. It often follows a mild course without fever and acute inflammatory signs as opposed to acute osteomyelitis. There may ...
The current clinical classification system for tuberculosis (TB) is based on the pathogenesis of the disease. [1] Health care providers should comply with local laws and regulations requiring the reporting of TB. All persons with class 3 or class 5 TB should be reported promptly to the local health department. [2]
A meta-analysis in 2014 found that the Bacillus Calmette–Guérin (BCG) vaccine reduced infections by 19–27% and reduced progression to active tuberculosis by 71%. [15] The Ohio Department of Health states that it give 80% of children protection against tuberculous meningitis and miliary tuberculosis.