II. Distribution: Areas of dissemination
- Tuberculous Lymphadenitis (most common form)
- Pleural Tuberculosis (5%)
- Skeletal Tuberculosis (35%)
-
Tuberculous Meningitis
- CSF with moderate lymphcytosis
- Gastrointestinal Tuberculosis
- Genitourinary Tuberculosis
- Tuberculous Peritonitis
- Miliary Tuberculosis
- Tuberculous Pericarditis
- Miliary Tuberculosis (Disseminated tuberculosis)
- Seen in AIDS and untreated Tuberculosis
- Presents with fever, Night Sweats, weight loss
- PPD is positive in only 50% of cases
III. Management
- Duration of therapy (phase 1 and 2 combined)
- Most forms of Extrapulmonary Tuberculosis: 4-7 months
- CNS Tuberculosis: 9-12 months
- Musculoskeletal Tuberculosis: Extended duration
- Phase 1: First 2 months (altered if suspect resistance)
- Phase 2: Duration varies per guidelines above
IV. References
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| Definition (NCI) | I would say the hematogenous widespread dissemination of tuberculosis in the body. The term derives from the chest X-ray image of the tiny (1-5 mm) tuberculosis lesions which are seen through out the lung parenchyma. |
| Definition (MSH) | An acute form of TUBERCULOSIS in which minute tubercles are formed in a number of organs of the body due to dissemination of the bacilli through the blood stream. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D014391 |
| ICD9 | 018.90, 018, 018.9 |
| ICD10 | A19 , A19.9 |
| SnomedCT | 154291001, 187295007, 186280001, 47604008 |
| English | Miliary Tuberculoses, Tuberculoses, Miliary, Tuberculosis, Miliary, Unspecified miliary tuberculosis, Miliary TB,unspecified, Miliary tuberculosis NOS, Miliary tuberculosis, unspecified, Unspecified miliary tuberculosis, unspecified examination, [X]Miliary TB,unspecified, [X]Miliary tuberculosis, unspecified, miliary tuberculosis (diagnosis), miliary tuberculosis, Miliary TB, Miliary TB NOS-unspec, Tuberculosis, Miliary [Disease/Finding], miliary tb, Miliary tuberculosis, unspecified, unspecified, [X]Miliary tuberculosis, unspecified (disorder), Miliary tuberculosis NOS (disorder), Miliary tuberculosis, MTB - Miliary tuberculosis, Miliary tuberculosis (disorder), miliary; tuberculous, tuberculosis; miliary, Miliary tuberculosis, NOS, Miliary Tuberculosis |
| Dutch | miliaire tuberculose niet-gespecificeerd, niet-gespecificeerde miliaire tuberculose, niet-gespecificeerde miliaire tuberculose, niet-gespecificeerd onderzoek, miliaire tuberculose, miliaire TBC, miliair; tuberculose, tuberculose; miliair, Miliaire tuberculose, niet gespecificeerd, Miliaire tuberculose, Tuberculose, miliaire |
| French | Tuberculose miliaire, non précisée, Tuberculose miliaire non précisée, TB miliaire, Tuberculose miliaire non précisée, examen non précisé, Miliaire tuberculeuse, Tuberculose miliaire |
| German | unspezifische Miliartuberkulose, unspezifische Untersuchung, miliaere TB, Miliartuberkulose, unspezifisch, unspezifische Miliartuberkulose, Miliartuberkulose, nicht naeher bezeichnet, Miliartuberkulose, Tuberkulose, Miliar- |
| Italian | Tubercolosi miliare non specificata, Tubercolosi miliare non specificata, esame non specificato, Tubercolosi miliare |
| Portuguese | TB miliar, Tuberculose miliar NE, Tuberculose miliar NE, exame NE, Tuberculose miliar, Tuberculose Miliar |
| Spanish | Tuberculosis miliar, Tuberculosis miliar no especificada, estudio no especificado, Miliaria TB, Tuberculosis miliar no especificada, [X]tuberculosis miliar, sin otra especificación, tuberculosis miliar, SAI (trastorno), tuberculosis miliar, SAI, [X]tuberculosis miliar, sin otra especificación (trastorno), [X]tuberculosis miliar, no especificada (trastorno), [X]tuberculosis miliar, no especificada, tuberculosis miliar (trastorno), tuberculosis miliar, Tuberculosis Miliar |
| Japanese | 粟粒結核, 詳細不明の粟粒結核, 詳細不明の粟粒結核、検査の詳細不明, 粟粒結核、詳細不明, ｿﾞｸﾘｭｳｹｯｶｸｼｮｳｻｲﾌﾒｲ, ｼｮｳｻｲﾌﾒｲﾉｿﾞｸﾘｭｳｹｯｶｸ, ｿﾞｸﾘｭｳｹｯｶｸ, ｼｮｳｻｲﾌﾒｲﾉｿﾞｸﾘｭｳｹｯｶｸｹﾝｻﾉｼｮｳｻｲﾌﾒｲ |
| Swedish | Tuberkulos, miliär |
| Czech | tuberkulóza miliární, Miliární TBC, Miliární tuberkulóza, blíže neurčená, Miliární tuberkulóza, Blíže neurčená miliární tuberkulóza, blíže neurčené vyšetření, Blíže neurčená miliární tuberkulóza |
| Finnish | Miliaarituberkuloosi |
| Russian | TUBERKULEZ MILIARNYI, ТУБЕРКУЛЕЗ МИЛИАРНЫЙ |
| Korean | 상세불명의 좁쌀 결핵, 좁쌀 결핵 |
| Croatian | TUBERKULOZA, MILIJARNA |
| Polish | Gruźlica prosówkowa |
| Hungarian | Nem meghatározott miliaris tuberculosis, nem meghatározott vizsgálat, miliaris tuberculosis, nem meghatározott, miliaris tuberculosis, nem meghatározott miliaris tuberculosis, Miliaris TBC |
| Norwegian | Miliærtuberkulose |
Ontology: Acute miliary tuberculosis (C0152915)
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 018.00, 018.0 |
| ICD10 | A19.2 , A19 |
| SnomedCT | 74998003, 187293000, 180213004, 186276006, 182159002, 181198009 |
| English | Acute miliary TB,unspecifd, Acute miliary tuberculosis, unspecified, Acute miliary tuberculosis, unspecified examination, [X]Acute miliary TB,unspecifd, [X]Acute miliary tuberculosis, unspecified, TUBERCULOSIS DISSEMINATED, disseminated tuberculosis (diagnosis), acute miliary tuberculosis, acute miliary tuberculosis (diagnosis), disseminated tuberculosis, Miliary tuberculosis, acute, Mycobacterium tuberculosis disseminated, Disseminated TB, Acute miliary tb-unspec, Tuberculosis;generalised, disseminating tuberculosis, disseminated tb, [X]Acute miliary tuberculosis, unspecified (disorder), Tuberculosis miliaris disseminata, Tuberculosis miliaris disseminata (disorder), Acute miliary tuberculosis, Disseminated tuberculosis, Generalized tuberculosis, Disseminated tuberculosis (disorder), Acute miliary tuberculosis (disorder), Generalised tuberculosis, Generalized tuberculosis (disorder), disseminated; tuberculous, tuberculosis; disseminated, tuberculosis; miliary, acute, Acute miliary tuberculosis (disorder) [Ambiguous], Tuberculosis;generalized, generalised tuberculosis, generalized tuberculosis |
| Italian | Tubercolosi disseminata, Tubercolosi miliare acuta, esame non specificato, Tubercolosi miliare acuta, Mycobacterium tuberculosis disseminato |
| Dutch | uitgezaaide TBC, acute miliaire tuberculose, miliaire tuberculose acuut, acute miliaire tuberculose, niet-gespecificeerd onderzoek, Mycobacterium tuberculosis verspreid, gedissemineerd; tuberculose, tuberculose; gedissemineerd, tuberculose; miliair, acuut, Acute miliaire tuberculose, niet gespecificeerd, uitgezaaide tuberculose |
| French | Tuberculose miliaire, aiguë, Tuberculose miliaire aiguë, examen non précisé, Tuberculose miliaire aiguë, TB disséminée, Tuberculose à Mycobacterium miliaire, Tuberculose disséminée |
| German | akute Miliartuberkulose, akute Miliartuberkulose, unspezifische Untersuchung, Miliartuberkulose, akut, Mycobacterium tuberculosis, disseminiert, Akute Miliartuberkulose, nicht naeher bezeichnet, disseminierte Tuberkulose |
| Portuguese | TB disseminada, Tuberculose miliar aguda, Mycobacterium tuberculosis disseminado, Tuberculose miliar aguda, exame não especificado, Tuberculose disseminada |
| Spanish | Tuberculosis miliar aguda, estudio no especificado, Tuberculosis miliar aguda, TB diseminada, Mycobacterium tuberculosis diseminado, [X]tuberculosis miliar aguda, no especificada, tuberculosis miliar diseminada, tuberculosis miliar generalizada (trastorno), tuberculosis miliaris disseminata, [X]tuberculosis miliar aguda, no especificada (trastorno), tuberculosis miliar generalizada, tuberculosis diseminada (trastorno), tuberculosis diseminada, tuberculosis generalizada (trastorno), tuberculosis generalizada, tuberculosis miliar aguda (concepto no activo), tuberculosis miliar aguda (trastorno), tuberculosis miliar aguda, Tuberculosis diseminada |
| Japanese | 急性粟粒結核, 播種性結核, 急性粟粒結核、検査の詳細不明, ﾊｼｭｾｲｹｯｶｸ, ｷｭｳｾｲｿﾞｸﾘｭｳｹｯｶｸｹﾝｻﾉｼｮｳｻｲﾌﾒｲ, ｷｭｳｾｲｿﾞｸﾘｭｳｹｯｶｸ |
| Czech | Diseminovaná tuberkulóza, Diseminovaná infekce způsobená Mycobacterium tuberculosis, Akutní miliární tuberkulóza, Akutní miliární tuberkulóza, blíže neurčené vyšetření, Diseminovaná TBC |
| Korean | 상세불명의 급성 좁쌀 결핵 |
| Hungarian | Acut miliaris tuberculosis, nem meghatározott vizsgálat, Miliaris tuberculosis, acut, Mycobacterium tuberculosis disseminált, disseminált tuberculosis, Acut miliaris tuberculosis, Disseminált TBC |
Ontology: Tuberculosis, extrapulmonary (C0679362)
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 423997002 |
| English | Tuberculosis, extrapulmonary (disorder), TB, extrapulmonary, Tuberculosis, extrapulmonary, Extrapulmonary tuberculosis, tuberculosis extrapulmonary, extra pulmonary tuberculosis, extra-pulmonary tuberculosis, extrapulmonary tuberculosis |
| Spanish | tuberculosis extrapulmonar (trastorno), TB extrapulmonar, tuberculosis extrapulmonar, Tuberculosis extrapulmonar |
| Italian | Tubercolosi extrapolmonare |
| French | Tuberculose extrapulmonaire |
| Dutch | extrapulmonale tuberculose |
| German | extrapulmonale Tuberkulose |
| Portuguese | Tuberculose extrapulmonar |
| Japanese | 肺外結核, ﾊｲｶﾞｲｹｯｶｸ |
| Czech | Extrapulmonální tuberkulóza |
| Hungarian | Extrapulmonalis tuberculosis |
