Miliary tuberculosis

Case contributed by Dr Mark Holland

Presentation

Generally unwell with lethargy, night sweats and haemoptysis.

Patient Data

Age: 20
Gender: Male
X-ray

Chest x-ray demonstrates very widespread randomly distributed innumerable tiny nodules in both lungs. There is no consolidation or pleural fluid and no mediastinal or hilar nodal enlargement. 

Diagram

Zoomed cropped image from the left upper zone demonstrates innumerable well defined ~2mm nodules.

Case Discussion

This patient has presented with constitutional symptoms and an abnormal chest radiograph with multiple, well-defined, tiny (2 mm) nodules throughout both lungs with no zonal predilection. By far the most likely diagnosis here is of tuberculosis, which was subsequently confirmed. 

Miliary tuberculosis represents haematogenous spread of uncontrolled TB infection.

PlayAdd to Share

Case information

rID: 20025
Case created: 29th Oct 2012
Last edited: 13th Jul 2017
System: Chest
Tag: tb
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.