Does increased lung markings indicate tuberculosis?

Written by An Yong Peng
Pulmonology
Updated on September 25, 2024
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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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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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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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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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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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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.