differs disseminated pulmonary tuberculosis spread through the bloodstream.Their source may be a newly emerging and re-activated foci of infection.Treatment of patients with chronic disseminated tuberculosis requires considerably more effort and not always successful.Talk about disseminated tuberculosis in the human body!
Variety disseminated tuberculosis - miliary tuberculosis - was discussed in the section on primary TB infection, as it may occur and the primary and the secondary tuberculosis.In addition, common sredneochagovy, macrofocal limited and widely disseminated tuberculosis.
Adrift release form:
island in the human body occurs miliary tuberculosis, but in time begun treatment patients can be completely cured, despite the severity of the process expressed.Subacute disseminated tuberculosis is the most common form.The disease can masquerade as flu, bronchitis prolonged, focal pneumonia.
In some cases, symptoms are more characteristic of extrapulmonary
objectively observed in the lungs of individual finely crackles.In general blood analysis revealed moderately elevated leukocyte count, ESR - from 20 to 30 mm / h.On X-rays of both lungs, mainly in their upper outer sections, the same type found scattered pockets of blackouts on a background of rough mesh - or melkopetlistogo drawing.When started promptly rational therapy subacute process can be cured.If subacute form was not detected in a timely manner, the disease continues to progress slowly and gradually becomes chronic: in the lungs formed multiple, scattered, different densities and sizes of pockets, scarring, emphysema.The collapse of foci leads to the formation of single or multiple cavities, of which can be distributed through the lumen of the bronchi.
Chronic disseminated tuberculosis in humans is characterized by:
- the appearance of shortness of breath (sometimes asthmatic nature),
- cough with purulent containing sputum,
- dysfunction of the cardiovascular system.
- lowering blood pressure,
- sleep disorders,
objectively in the lungs and in the human body are marked multiple scattered dry and moist rales.In general, a blood test at an exacerbation of a moderately detect elevated levels of leukocytes, monocytes.In the bronchi during the diagnostic bronchoscopy often find specific changes.X-ray examination revealed foci in lungs dimming of different sizes and densities, located less symmetrical than in the subacute form, mesh pattern, emphysema, thin-walled, so-called printed, because of their similarity, the cavern.The roots of the lungs as a result of tightened up sclerosis, heart and major blood vessels are in the "hanging" position.Often found adhesions between the lung and pleura, pleura and diaphragm.