Pulmonology Book

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Extrapulmonary Tuberculosis

Aka: Extrapulmonary Tuberculosis, Disseminated tuberculosis, Miliary Tuberculosis
  1. See Also
    1. Tuberculosis
    2. Tuberculosis Screening in Children
    3. Tuberculosis Risk Factors (Tuberculosis Screening Indications)
    4. Tuberculosis Risk Factors for progression from Latent to Active Disease (Latent Tuberculosis Treatment Indications)
    5. Tuberculosis Related Chest XRay Changes
    6. Tuberculin Skin Test (TST, Purified Protein Derivative, PPD)
    7. Mycobacterium Tuberculosis Antigen-Specific Interferon-Gamma Release Assay (IGRA)
    8. Latent Tuberculosis Treatment
    9. Active Tuberculosis Treatment
    10. Susceptible Tuberculosis Treatment
    11. Possibly Resistant Tuberculosis Treatment
    12. Multiple Drug Resistant Tuberculosis Treatment
    13. Tuberculosis Resources
  2. Distribution: Areas of dissemination
    1. Tuberculous Lymphadenitis (most common form)
    2. Pleural Tuberculosis (5%)
    3. Skeletal Tuberculosis (35%)
    4. Tuberculous Meningitis
      1. CSF with moderate lymphcytosis
    5. Gastrointestinal Tuberculosis
    6. Genitourinary Tuberculosis
    7. Tuberculous Peritonitis
    8. Miliary Tuberculosis
    9. Tuberculous Pericarditis
    10. Miliary Tuberculosis (Disseminated tuberculosis)
      1. Seen in AIDS and untreated Tuberculosis
      2. Presents with fever, Night Sweats, weight loss
      3. PPD is positive in only 50% of cases
  3. Management
    1. Duration of therapy (phase 1 and 2 combined)
      1. Most forms of Extrapulmonary Tuberculosis: 4-7 months
      2. CNS Tuberculosis: 9-12 months
      3. Musculoskeletal Tuberculosis: Extended duration
    2. Phase 1: First 2 months (altered if suspect resistance)
      1. Isoniazid
      2. Rifampin
      3. Pyrazinamide
      4. Ethambutol
    3. Phase 2: Duration varies per guidelines above
      1. Isoniazid
      2. Rifampin
  4. References
    1. Golden (2005) Am Fam Physician 72(9):1761-8 [PubMed]

Tuberculosis, Miliary (C0041321)

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
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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