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Sinus formation is a complex form of recurrent tuberculosis. [32] Spinal cord compression occurs and can stop the nerves from functioning properly when pressure builds on the spinal cord. The consequence of this compression and pressure is symptoms such as back pain, trouble walking, and weakness in the arms and/or legs. [33] [34]
Diagnosing active tuberculosis based only on signs and symptoms is difficult, [99] as is diagnosing the disease in those who have a weakened immune system. [100] A diagnosis of TB should, however, be considered in those with signs of lung disease or constitutional symptoms lasting longer than two weeks. [100]
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 be a gap of a few months to 2 to 3 years from the time of initial infection to the point of diagnosis.
In addition to tuberculosis, other possible causes of gibbus deformity include pathological diseases, hereditary and congenital conditions, and physical trauma to the spine that results in injury. [ 6 ] [ 7 ] Gibbus deformity may result from the sail vertebrae associated with cretinism (the childhood form of hypothyroidism ...
Thus, without the cough or flu-like symptoms, a person can unwittingly have active tuberculosis. Other symptoms include back pain, flank pain, PID symptoms, confusion, coma, difficulty swallowing, and many other symptoms that would be a part of other diseases. [13] (Please see the reference for more information on symptoms.)
If there is any question of active TB, sputum smears must be obtained. Therefore, any applicant might have findings grouped in this category, but still have active TB as suggested by the presence of signs or symptoms of TB, or sputum smears positive for AFB. [2] The main chest X-ray findings that can suggest inactive TB are: [2] 1.
The symptoms will mimic those of space-occupying lesions. [7] Blood-borne spread certainly occurs, presumably by crossing the blood–brain barrier, but a proportion of patients may get TB meningitis from rupture of a cortical focus in the brain; [8] an even smaller proportion get it from rupture of a bony focus in the spine. [9]
In this population, symptoms such as headache, fever, focal neurologic findings and seizures have been seen [3] in addition to papilledema with or without meningitis. [20] When the size of a brainstem tuberculoma grows to the point of narrowing the fourth ventricle , obstructing hydrocephalus and its related symptoms can arise. [ 20 ]