Presentation
Acutely unwell with pyrexia and weight loss
Patient Data
Age: 35 years
Gender: Female
From the case:
Miliary tuberculosis
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Bilateral miliary nodules
Case Discussion
Fulminant infection with Mycobacterium tuberculosis disseminated via bloodstream
Nodules are < 3mm, uniform in size, usually too numerous to count and noncalcified
May have background of ground-glass opacities or septal thickening
The nodules are distributed randomly with respect to secondary pulmonary lobules
Typical miliary infection may not be seen radiographically for 3-6 weeks after hematogenous dissemination
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