26 results
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Pott's Disease in Tuberculosis ... symptoms of active pulmonary ... - Spread of bacilli ... tissue damage - CXR ... for concomitant pulmonary
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Droplets that contain bacilli ... Recent infection • Pulmonary ... • HIV: 2/3 pulmonary ... and Culture • CXR ... disease • Check CXR
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Droplets that contain bacilli ... Recent infection • Pulmonary ... • HIV: 2/3 pulmonary ... and Culture • CXR ... disease • Check CXR
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
lymphadenopathy, pulmonary ... Abscess: • More bacilli ... Children with pulmonary ... TB • Many possible ... #differential #TB
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... Pal @drdevrad #Pulmonary ... #Tuberculosis # ... TB #Patterns #chest ... clinical #radiology #CXR
Miliary Tuberculosis 
Hematogenous dissemination of Mycobacterium tuberculosis 
Clinical: 
 • Failure to thrive 
 • Fever
Miliary Tuberculosis ... Mycobacterium tuberculosis ... glands #Miliary #Tuberculosis ... #TB #Pulmonary
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
Clinical #Radiology #Pulmonary ... #CTChest #Tuberculosis ... #TB #Active #SecondaryTB
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
LATENT TB • ... IGRA/QuantiFERON-TB ... age ACTIVE TB ... used to exclude pulmonary ... Diagnosis #Workup #TB
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... • CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... Fungal, AFB), TB ... ID_fellows #Pulmonary
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
individual with active TB ... • Abnormal CXR ... consistent with old TB ... individuals #Tuberculosis