Does tuberculous pleuritis belong to pulmonary tuberculosis?

Written by An Yong Peng
Pulmonology
Updated on September 25, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Wang Chun Mei
Pulmonology
47sec home-news-image

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.

doctor image
home-news-image
Written by An Yong Peng
Pulmonology
50sec home-news-image

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.

doctor image
home-news-image
Written by Xiong Hong Hai
Infectious Disease
41sec home-news-image

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.

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 37sec home-news-image

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.

doctor image
home-news-image
Written by An Yong Peng
Pulmonology
1min 5sec home-news-image

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.