Miliary tuberculosis

Presentation

Patient with HIV infection without antiretroviral therapy started with cough and fever.

Patient Data

Age: 32
Gender: Female
X-ray

Chest x-ray

Chest x-ray demonstrates a bilateral diffuse micronodular pattern. 

CT

CT chest

CT findings consist of innumerable, 1-3 mm diameter nodules randomly distributed throughout both lungs.

Case Discussion

Miliary TB refers to widespread dissemination of TB by hematogenous spread. It occurs in 2-6% of primary TB and also occurs somewhat more frequently in reactivation TB. In the latter situation, miliary TB may be seen in association with typical  parenchymal changes or may be the only pulmonary abnormality.

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Case information

rID: 23109
Case created: 22nd May 2013
Last edited: 7th Aug 2016
System: Chest
Inclusion in quiz mode: Included

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