Miliary tuberculosis symptoms?

summary

Miliary tuberculosis, also known as hematogenous disseminated tuberculosis. Acute miliary tuberculosis is often a part of systemic miliary tuberculosis. There are low fever, fatigue, loss of appetite, cough and a small amount of hemoptysis. However, most patients have mild lesions, often without obvious symptoms. A few patients have acute onset, high toxic symptoms and obvious respiratory symptoms. Occasionally, the lesions can be limited to both lungs. This is caused by the caseous necrosis of the hilar or mediastinal lymph nodes around the bronchus breaking into the nearby veins, and the liquefied substance containing a large amount of tuberculosis spreading to both lungs through the right heart and pulmonary artery? Let's talk about it.

Miliary tuberculosis symptoms?

1. The diagnosis of miliary tuberculosis is mainly based on the contact history of tuberculosis, clinical manifestations, hepatosplenomegaly and positive tuberculin test. Bacteriological examination, serum anti tuberculin antibody test and chest X-ray film should be carried out for suspicious patients. Chest X-ray film often plays a decisive role in the diagnosis. Early miliary shadow makes up for the bilateral lung fields. Lung CT scan can show the size of pulmonary shadow The density and distribution were consistent, and some lesions had fusion.

2. Most of the patients with pulmonary schistosomiasis had contact history with infected areas, most of them were adults. The early lung changes were similar to those of acute miliary pulmonary TB, but the shadow density was light, the size was different, the diameter was between 1-5mm, the distribution was uneven, the middle and lower lung fields and inner and middle zones were more common, blood routine examination showed abnormal increase of eosinophils, combined with clinical history, it was not difficult to make a diagnosis.

3. Hemosiderosis usually occurs in children under 10 years old, but rarely in adults. In the early stage of pulmonary hemorrhage, there are extensive speckled and small patchy shadows in both lungs. Its diameter ranges from 0.5 to 10 mm, the density is light, the edge is unclear, the distribution is mostly symmetrical, the middle and lower fields of the two lungs are relatively more, the other lung fields are less, the "double track" sign (also known as "bronchial inflation" sign) can be seen in the fuzzy shadow, this disease can cause pulmonary interstitial fibrosis.

matters needing attention

Miliary tuberculosis, also known as hematogenous disseminated tuberculosis. Acute miliary tuberculosis is often a part of systemic miliary tuberculosis. There are low fever, fatigue, loss of appetite, cough and a small amount of hemoptysis.