Miliary tuberculosis

Case contributed by Dr Nilay Singh Shinde
Diagnosis certain


Cough with sputum, fever for 5 months, and weight loss.

Patient Data

Age: 55 years
Gender: Female



There is evidence of multiple tiny nodular opacities of average size 1-3 mm noted diffusely in bilateral lung fields suggestive of miliary tuberculosis. Incidental finding bilateral hypoplastic cervical ribs.

Case Discussion

Miliary TB represents only 1-3% of all cases of TB. Up to 50 % percent of cases remains undiagnosed antemortem. The mode of spread of miliary TB is via hematogenous route. 

This case was confirmed by lab reports and the patient started antituberculous treatment.

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