Tuberculosis
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Is a shadow on the lung definitely tuberculosis?
Shadows in the lungs are primarily revealed through imaging studies, a characteristic feature found in radiology. Clinically, lung shadows can be caused by tuberculosis, various lung tumors, or inflammatory lesions, which are also detected via imaging studies. Hence, the causes of lung shadows are numerous and complex in clinical settings. Discovering a shadow on the lungs through X-ray does not necessarily indicate tuberculosis. A definitive diagnosis should be based on a detailed patient history, other relevant clinical manifestations, and additional diagnostic tests. While tuberculosis might be a likely cause of lung shadows, it is not the cause in every case.
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What vegetables are good for patients with tuberculosis?
Tuberculosis is a relatively common disease in clinical practice, and currently, there are many tuberculosis patients in our country. Clinically, it mainly manifests as low-grade fever in the afternoon, as well as coughing up phlegm, blood in the phlegm, and other related issues. It can be definitively diagnosed through tests such as the PPD test and chest CT scans. For tuberculosis patients, dietary adjustments are also necessary. For example, in terms of vegetables, they can eat potatoes, celery, cabbage, tomatoes, cucumbers, eggplants, etc. The main food should consist of rice and noodles. In terms of protein, it is advisable to eat more meat, eggs, and milk to supplement nutrition. It is important to maintain a light diet and avoid spicy and irritating foods.
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Symptoms of tuberculosis in children
Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. It can affect various organs throughout the body, but pulmonary tuberculosis is the most common. Initially, symptoms typically include some signs of tuberculosis toxicity, such as prolonged low-grade fever accompanied by coughing. Sometimes the coughing is not severe and may be mild, but in some cases, severe coughing can lead to hemoptysis and other conditions. Night sweats are also common, generally presenting with afternoon low-grade fever and night sweating, along with general fatigue, loss of appetite, difficulty eating, and weight loss.
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Is pulmonary tuberculous effusion contagious?
Pulmonary hydrotuberculosis is actually caused by infection with the tuberculous bacillus, which is commonly referred to as tuberculous pleurisy. Simple tuberculous pleurisy is not contagious, because the lesions are primarily within the pleural cavity, and the pleural cavity is not connected to the outside world. Therefore, simple pulmonary hydrotuberculosis is not contagious. However, if it is accompanied by pulmonary tuberculosis, and if the examination for pulmonary tuberculosis finds tuberculous bacillus in the sputum, then it is contagious in these cases.
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The difference between sarcoidosis and tuberculosis
Sarcoidosis and tuberculosis, although only differing by one character in Chinese, are completely different diseases. Sarcoidosis and tuberculosis share some similarities, such as their pathological changes often involving granulomas. However, in tuberculosis, the granulomas are typically caseating, while in sarcoidosis, they are non-caseating. Tuberculosis shows characteristic features under pathological examination, whereas the diagnosis of sarcoidosis is one of exclusion, requiring the ruling out of other various granulomatous diseases. Secondly, their causes are also different; tuberculosis has a very clear cause, being an infectious disease caused by the tuberculosis bacterium. Meanwhile, the cause of sarcoidosis has not been identified clearly and may be related to a variety of factors including genetics, environment, and chemicals, among others. Additionally, the clinical manifestations of both sarcoidosis and tuberculosis are not specific, and both diseases can present symptoms like coughing, expectoration, chest pain, hemoptysis, low or high fever, weight loss, and night sweats. Thus, it is quite difficult to differentiate between sarcoidosis and tuberculosis based on symptoms alone. Moreover, their treatments differ; sarcoidosis is mainly treated with corticosteroids, while the primary treatment for tuberculosis involves anti-tuberculosis therapy.
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Is pulmonary tuberculosis contagious?
The source of transmission for tuberculosis mainly comes from patients with active pulmonary tuberculosis, also known as bacterium-shedding patients. This is determined when tuberculosis bacteria are found in the patient's sputum. Tuberculous pleurisy, commonly referred to as tuberculous pleurisy, is not contagious. This is because the pleural effusion is confined within the pleural cavity, isolated from the external environment, and the chances of detecting tuberculosis bacteria in the pleural fluid are very low. Therefore, it is generally not contagious and there is no need for concern. The treatment duration for tuberculous pleurisy is longer than that for pulmonary tuberculosis, typically lasting 9 to 12 months. It is important to follow medical advice and complete the course of anti-tuberculosis treatment.
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Is pulmonary fibrosis always caused by tuberculosis?
Pulmonary fibrosis foci do not necessarily result from tuberculosis, although tuberculosis is a relatively common cause of such fibrosis. After tuberculosis is cured, pulmonary fibrosis foci may remain. However, in cases of general pulmonary inflammation, sometimes the lesion is not completely absorbed, which may also result in fibrosis. If the pulmonary fibrosis foci are a result of tuberculosis, there is a certain risk of recurrence. In such cases, measures should be taken to prevent recurrence, such as ensuring balanced nutrition and engaging in appropriate exercise to enhance one's resistance. These measures help prevent the recurrence of tuberculosis. Additionally, pulmonary fibrosis foci can also lead to changes in lung structure, making patients relatively more susceptible to respiratory infections. Therefore, for pulmonary fibrosis foci, it is also important to keep warm and prevent respiratory infections.
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Is the disease with symptoms of chest tightness, shortness of breath, difficulty breathing, and palpitations tuberculosis?
Tuberculosis can cause symptoms such as fever, night sweats, cough, and hemoptysis, and in severe cases, it can lead to chest tightness, shortness of breath, and palpitations. However, if a patient experiences shortness of breath, difficulty breathing, and palpitations without symptoms like fever, hemoptysis, or night sweats, it is advisable to consider heart disease or chronic lung disease, or pneumonia leading to cardiopulmonary insufficiency. To rule out these conditions, examinations such as a chest CT and cardiac echocardiography should be conducted. Patients experiencing chest tightness and difficulty breathing are advised to seek medical attention at a hospital as soon as possible.