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Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

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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.
The first classification is based on the development of the disease, and it includes the following categories:
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Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

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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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Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
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Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
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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
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Secondary organs, including lymph nodes, the spleen, and mucosa-associated lymphoid tissue (MALT), work harmoniously to protect us from disease and infection.
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
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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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Sarcoidosis with Rare Extrapulmonary Involvement.

Marta Brandão Calçada1, Sara Montezinho1, Andreia M Teixeira1

  • 1Internal Medicine Department, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.

European Journal of Case Reports in Internal Medicine
|August 11, 2021
PubMed
Summary
This summary is machine-generated.

Sarcoidosis with bone marrow involvement is rare. A bone marrow biopsy confirmed sarcoidosis in a patient initially suspected of lymphoproliferative disease, highlighting the need for high clinical suspicion.

Keywords:
Bone marrow biopsybone marrow sarcoidosisextrapulmonary sarcoidosissarcoidosis

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Area of Science:

  • Internal Medicine
  • Pathology

Background:

  • Sarcoidosis is a systemic granulomatous disease with rare extrapulmonary manifestations.
  • Medullary involvement in sarcoidosis is an uncommon presentation.

Purpose of the Study:

  • To present a case of sarcoidosis with extensive medullary involvement.
  • To emphasize the diagnostic challenges in differentiating sarcoidosis from lymphoproliferative disease.

Main Methods:

  • Case report of a 37-year-old male with abdominal pain.
  • Diagnostic workup included CT, laboratory tests, FDG-PET, and bone marrow biopsy.
  • Treatment involved corticosteroids.

Main Results:

  • CT revealed renal microlithiasis and adenopathies.
  • Elevated inflammatory markers, ACE, and calcium levels were noted.
  • FDG-PET suggested lymphoproliferative disease, but bone marrow biopsy confirmed sarcoidosis.

Conclusions:

  • Bone marrow biopsy is crucial for diagnosing sarcoidosis with medullary involvement, especially when differentiating from lymphoproliferative disease.
  • FDG-PET scans may not reliably distinguish between sarcoidosis and lymphoproliferative disease in cases of extensive organ involvement.
  • A high index of clinical suspicion is necessary for accurate diagnosis.