Disseminated tuberculosis is a contagious mycobacterial infection, and wherein the mycobacteria spread from the lungs to other parts of the body through the blood and lymphatic system.
Tuberculosis is a lung disease transmitted by droplet, so just breathe the air of sprayed through coughing or sneezing droplets of Mycobacterium tuberculosis derived from a sick person to be exposed to the disease.
Typically, the locating tuberculosis disease is the lungs, but there are cases where other organs are infected (if we are dealing with disseminated tuberculosis). The disease develops in a relatively small group of people infected, mostly in those whose immune system is unable to cope with the tuberculosis bacteria.
The disease can occur within a few weeks of primary infection, but it also happens that it does not manifest for years to attack suddenly, for example, in combination with another disease like AIDS or as a result of the use of certain drugs. The elderly and infants are at increased risk of illness.
Among the risk for miliary tuberculosis also includes:
people who have contact with patients, for example when traveling, because of their profession,
people living in crowded places with the heavily polluted environment,
individuals who have unhealthy to feed.
The symptoms of disseminated tuberculosis
- abdominal pain or swelling,
- a cough and shortness of breath,
- excessive fatigue,
- the general feeling of discomfort, distress or discomfort,
- joint pain,
- pale skin caused by anemia (paleness)
- weight loss.
Diagnosing and disseminated tuberculosis
Diagnosis should determine whether there is swelling of the liver, swollen lymph nodes and spleen swelling. The tests that are performed at the onset of symptoms are:
- biopsies affected by the disease organs or tissues,
- bronchoscopy for evaluation of cultures,
- chest X-ray,
- CT scanner the endangered a disease area,
- fundus examination, if the damage occurred in the retina,
- interferon-gamma – release assay blood
- biopsy of the lung and pleura,
- PPD skin test,
- the sputum examination and cultures,
The purpose of treatment is to combat infections and are most commonly used medicaments in control of the tuberculosis bacteria. Treatment of miliary tuberculosis involves a combination of drugs (usually the four). By laboratory tests are assessed which drugs will work best for a particular strain of tuberculosis bacteria.
Sometimes treatment requires an extended period – six months or longer. It is crucial to use the medication as prescribed, because otherwise, the treatment of tuberculosis can be significantly impeded.
There are cases where it is necessary to withstand the patient for 2-4 weeks on the ward infectious to prevent the spread of the disease until it is contagious.
Most forms of, disseminated tuberculosis responds well to treatment, but sometimes the tissue damaged by disease – such as bones and joints can be permanently damaged by the infection.
Among the complications may appear:
- respiratory distress syndrome,
- pulmonary insufficiency,
Drugs used during treatment, also tend to have certain side effects like changes in vision, orange-brown coloration of tears and urine, rash and hepatitis.