Tuberculosis

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Written by An Yong Peng
Pulmonology
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Does tuberculous pleuritis belong to pulmonary tuberculosis?

Tuberculous pleurisy is not classified as pulmonary tuberculosis. Tuberculous pleurisy is a common manifestation of extrapulmonary tuberculosis, often referred to as tuberculosis of the pleura, typically presenting with pleural effusion. Symptoms can sometimes include low-grade fevers in the afternoon and night sweats, which are typical of tuberculosis intoxication. However, the clinical presentation of tuberculous pleurisy can sometimes be atypical, with some patients experiencing high fevers, and there are cases of tuberculous pleurisy without any fever. Additionally, tuberculous pleurisy often coexists with pulmonary tuberculosis. Sometimes, patients with tuberculous pleurisy who undergo a chest CT scan may find lesions in the lungs, but there are also cases where tuberculous pleurisy may exist independently, without the presence of pulmonary tuberculosis.

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Written by An Yong Peng
Pulmonology
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Does increased lung markings indicate tuberculosis?

Increased pulmonary markings are not an exclusive indicator of tuberculosis. The increase in pulmonary markings could be a sign of acute bronchitis or chronic pulmonary congestion. Additionally, although patients with bronchiectasis often show characteristics in a chest CT, it might only appear as increased pulmonary markings in a chest X-ray. Tuberculosis can present in various forms of lesions, often coexisting in multiple forms. Such forms may include infiltrative lesions, fibrous strip-like lesions, nodular lesions, or even lesions with calcification. For diagnosing tuberculosis, relying solely on chest X-rays or CT scans is sometimes insufficient. Further confirmation often requires additional tests such as sputum acid-fast staining and bronchoscopy.

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Written by Xiong Hong Hai
Infectious Disease
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What are some common early symptoms of tuberculosis?

Patients with tuberculosis tend to exhibit symptoms such as cough, expectoration, low-grade fever, night sweats, afternoon feverishness, and blood in sputum in the early stages. Systemic symptoms of tuberculosis include afternoon feverishness, which refers to the body temperature starting to rise in the afternoon and returning to normal by early morning. Night sweats refer to sweating profusely during sleep, which stops upon waking. These tuberculosis-related symptoms are commonly seen in the early stages of the disease.

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Written by Wang Chun Mei
Pulmonology
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Will pneumoconiosis tuberculosis be contagious?

Pneumoconiosis is a very common type of occupational disease clinically, often caused by long-term inhalation of large amounts of dust in the environment, leading to a chronic lung disease. When pneumoconiosis progresses to a certain extent, it inevitably leads to fibrotic changes in the lungs. At this stage, the disease can potentially cause pulmonary tuberculosis. Therefore, in clinical practice, the diagnosis of tuberculosis is often made by finding Mycobacterium tuberculosis in the sputum, as well as through chest CT or X-ray examinations for a clear diagnosis. Generally, pneumoconiosis tuberculosis is contagious if Mycobacterium tuberculosis can be found in the sputum. If the bacterium is not found in the sputum of pneumoconiosis tuberculosis patients, it is not contagious. Therefore, whether pneumoconiosis tuberculosis is contagious or not can only be determined based on some of the patient's test results.

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Written by Han Shun Li
Pulmonology
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How to maintain health after recovering from tuberculosis?

Now, tuberculosis is a curable disease. Therefore, after recovering from tuberculosis, the first step in maintenance is to stay calm and not to consider oneself as a patient anymore. After recovery, one's health status is the same as before, and it is crucial to maintain a healthy mental state. Additionally, one should have a regular lifestyle, balanced nutrition; avoid overwork and staying up late; avoid smoking and drinking; actively exercise and engage in outdoor activities to enhance the body's resistance and adaptability; with changes in weather, timely adjust clothing to avoid catching cold, and actively prevent colds and so on.

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Written by Xiong Hong Hai
Infectious Disease
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What should be noted in the diagnosis of tuberculosis combined with AIDS?

The diagnosis of tuberculosis in individuals infected with AIDS generally involves examining certain clinical symptoms such as coughing, expectoration, low-grade fever, night sweats, and blood in sputum. Additionally, it requires analysis of specific characteristics in chest imaging, such as tuberculosis lesions identified in chest CT scans that are relatively specific. Microbial tests on sputum, such as sputum culture and acid-fast bacillus smear, are also essential. When necessary, tests for tuberculosis-infected T-cells can be conducted to provide a comprehensive diagnosis. After diagnosing concurrent pulmonary tuberculosis, anti-tuberculosis treatment is required.

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Written by Xiong Hong Hai
Infectious Disease
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Tuberculosis is a bacterial infection that primarily affects the lungs but can also affect other parts of the body. It is caused by the bacterium Mycobacterium tuberculosis.

Tuberculosis is mainly due to the infection of the human body by tuberculosis bacteria, which proliferate massively within the body, destroying the tissues and organs, and producing some blood syndromes related to combined toxins. Symptoms such as low-grade fever, night sweats, blood-stained sputum, and afternoon feverishness are common, and weight loss is also a common occurrence. Different forms of tuberculosis have different clinical symptoms. Tuberculosis can be cured if it is identified early and treated promptly and properly with anti-tuberculosis therapy, allowing many to recover completely.

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Written by Xiong Hong Hai
Infectious Disease
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Can you eat onions during tuberculosis medication?

Patients with tuberculosis can normally eat onions during their medication period. It is beneficial to eat more vegetables and fruits to provide the body with ample vitamins and fiber. In addition to eating onions, there should also be a proper intake of high-quality proteins, such as chicken, duck, fish, lean meats, eggs, and soy products, as well as foods rich in carbohydrates and calories. Timely and standard anti-tuberculosis treatment is crucial; patients must take their medication regularly. Most patients can fully recover if the medication is taken on schedule. Irregular and untimely medication can lead to poor treatment outcomes.

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Written by Xiong Hong Hai
Infectious Disease
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Is tuberculosis infectious?

Only patients whose active phlegm contains tuberculosis bacteria are infectious. Many cases of tuberculosis are actually non-contagious. For example, extrapulmonary tuberculosis, such as lymph node tuberculosis, tuberculous pleurisy, and tuberculous meningitis, are not contagious. Pulmonary tuberculosis patients, whose phlegm contains tuberculosis bacteria, are contagious and need appropriate respiratory isolation and should begin anti-tuberculosis treatment as soon as possible. Through anti-tuberculosis treatment, contagious pulmonary tuberculosis can become non-contagious.

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Written by Li Hu Chen
Imaging Center
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Tuberculosis X-ray Chest Radiograph Manifestations

If it is tuberculosis, it is generally visible on an X-ray chest film. Of course, some especially early-stage or tiny lesions might not be detected except by CT. However, typical cases of tuberculosis can be diagnosed with a chest X-ray. Often, on the chest X-ray, the apices of both lungs—the uppermost parts—might show cloud-like, vague shadowy areas that are slightly brighter than the normal lung tissue but with unclear edges. Additionally, there are some cases of secondary tuberculosis, which are more severe, featuring tuberculomas which are more evenly dense and have smoother edges. These can be seen in the lungs. However, such typical severe tuberculomas are becoming less common clinically because medications are used more promptly now, and people seek treatment in a timely manner. Cases like chronic fibrocavitary tuberculosis are becoming increasingly rare, mostly seen in older patients who have been on medication for many years.