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Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

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Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
978
Pulmonary Tuberculosis II01:28

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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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Pulmonary Tuberculosis V01:28

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Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
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Pulmonary Tuberculosis III01:31

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Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
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Pulmonary Tuberculosis IV01:26

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Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
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In contrast to passive transport, active transport involves a substance being moved through membranes in a direction against its concentration or electrochemical gradient. There are two types of active transport: primary active transport and secondary active transport. Primary active transport utilizes chemical energy from ATP to drive protein pumps that are embedded in the cell membrane. With energy from ATP, the pumps transport ions against their electrochemical gradients—a direction...
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Primary tonsillar tuberculosis.

Swetha Sasikumar1, Irfan Ismail Ayub1, Senthil Kannan2

  • 1Department of Pulmonary Medicine, Sri Ramachandra University, Chennai, Tamil Nadu, India.

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|September 26, 2018
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Summary

Tuberculosis of the tonsils is rare, but this case highlights its potential as a cause of persistent tonsillitis. Early diagnosis and antituberculous treatment are crucial for recovery.

Keywords:
Tb and other respiratory infectionsmouthotolaryngology / enttuberculosis

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Pathology

Background:

  • Tuberculosis (TB) rarely affects the upper aerodigestive tract, occurring in up to 2% of pulmonary TB cases.
  • Isolated tonsillar tuberculosis is an infrequently encountered clinical scenario.

Observation:

  • A 22-year-old postpartum woman presented with odynophagia, fever, weight loss, and submandibular swelling.
  • Clinical examination revealed a submandibular lymph node and oropharyngeal findings of necrotic slough over an enlarged left tonsil.

Findings:

  • Fine-needle aspiration cytology and tonsillectomy histopathology confirmed necrotising epithelioid granulomas.
  • Acid-fast bacilli staining was positive, leading to a diagnosis of tonsillar tuberculosis.

Implications:

  • This case underscores the importance of considering tuberculosis in the differential diagnosis of persistent tonsillitis, especially in endemic areas.
  • It highlights an uncommon presentation of primary tuberculosis and the need for microbiological investigation.
  • Prompt antituberculous treatment resulted in clinical improvement, emphasizing the efficacy of standard TB regimens for this manifestation.