Tuberculosis symptoms of the elderly?

summary

Tuberculosis is a common disease, which could not be cured 30 years ago. Now with the development of medicine, tuberculosis is no longer an incurable disease. As long as we have standardized treatment, there is still hope to be cured. Pulmonary tuberculosis generally invades the people with decreased body resistance, and the elderly are also among them. So what are the symptoms of the elderly suffering from pulmonary tuberculosis? Now let's talk about it.

Tuberculosis symptoms of the elderly?

The clinical symptoms are not typical. The symptoms of some elderly patients with pulmonary tuberculosis are not obvious, lack of typical afternoon hot flashes, night sweats and other symptoms. Some of them are characterized by cough, expectoration and shortness of breath. Most patients with chronic respiratory diseases are prone to this disease, which is often considered to be caused by chronic lung diseases; Some only have general fatigue, anorexia, gastrointestinal dysfunction, etc; In some cases, neuropsychiatric disorder was the main manifestation; In addition, asymptomatic cases accounted for about 1 / 4 of the elderly pulmonary tuberculosis, so the missed diagnosis rate was high.

The chest X-ray findings of typical elderly patients with pulmonary tuberculosis are different from those of ordinary patients. In the early stage, most of them showed infiltration in the middle and lower lung fields, and gradually developed into induration and fibrosis lesions. Sometimes, the boundary was clear and the density was high, which was like the solitary shadow of lung cancer, so it was often misdiagnosed. Sometimes, in the lesions of fibrous hyperplasia and pleural thickening, there are honeycomb cavity lesions. The incidence of cavity is high, even more than half; Most of them were thick walled and multiple cavities, some of them were irregular and suspected of cancerous cavities. If the lung lesions of the elderly patients do not improve but worsen under the reasonable anti tuberculosis drug treatment, or massive shadow occurs in the lung area without tuberculosis lesions, the possibility of lung cancer should be considered, and comprehensive examination should be carried out as soon as possible, so as to make a correct diagnosis in time.

The most common complications of pulmonary tuberculosis in the elderly are arteriosclerosis, diabetes, heart disease, chronic obstructive pulmonary disease, especially diabetes. These complications aggravate the condition of elderly patients with tuberculosis and complicate the treatment.

matters needing attention

If the elderly suffer from tuberculosis, they will show the above symptoms. I hope you can keep in mind that if they have symptoms related to tuberculosis in their daily life, they should go to the hospital for examination in time, so as to find, diagnose and treat them early, so that the elderly can have a healthy body to enjoy their old age. 　　-