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Virtual Pediatric Hospital: Paediapaedia: Tuberculosis, Miliary Paediapaedia: Chest and Airway Diseases

Tuberculosis, Miliary

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
More common in younger children than in older children.

Etiology/Pathophysiology:
Hematogenous spread of tubercle bacilli throughout the body, usually in the first few months after a primary infection. The younger the infant the more rapidly the inflammatory process evolves.

Pathology:
Granulomas.

Imaging Findings:
May take several days to show up on CXR. Tiny, miliary densities are seen in the lungs that represent a confluence of several pulmonary granulomas. Hilar and paratracheal adenopathy may also seen.

DDX:

References:
See References Chapter.

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