Miliary tuberculosis

Case contributed by Sakher Alkhaderi
Diagnosis certain


Fever, cough, malaise, weight loss.

Patient Data

Age: 40 years
Gender: Female

Innumerable small nodules throughout both lungs.


There is evidence of diffuse miliary nodules (1-3 mm) of uniform size and uniform distribution at both lungs.

Case Discussion

Miliary tuberculosis refers to widespread dissemination of mycobacterium tuberculosis via hematogenous spread, classic miliary TB is defined as millet-like (mean size 2 mm) seeding of TB bacilli in the lung. This pattern is seen in 1-3% of all TB cases.

This particular case was diagnosed by open lung biopsy.

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