Saturday, February, 11, 2012

Pulmonary tuberculosis

Table of Contents

Alternative Names

TB; Tuberculosis - pulmonary


Symptoms

The primary stage of TB usually doesn't cause symptoms. When symptoms of pulmonary TB occur, they may include:

  • Cough (usually cough up mucus)
  • Coughing up blood
  • Excessive sweating, especially at night
  • Fatigue
  • Fever
  • Unintentional weight loss

Other symptoms that may occur with this disease:

  • Breathing difficulty
  • Chest pain
  • Wheezing

Signs and tests

Examination may show:

  • Clubbing of the fingers or toes (in people with advanced disease)
  • Enlarged or tender lymph nodes in the neck or other areas
  • Fluid around a lung (pleural effusion)
  • Unusual breath sounds (crackles)

Tests may include:

  • Biopsy of the affected tissue (rare)
  • Bronchoscopy
  • Chest CT scan
  • Chest x-ray
  • Interferon-gamma blood test such as the QFT-Gold test to test for TB infection
  • Sputum examination and cultures
  • Thoracentesis
  • Tuberculin skin test


Review Date: 12/07/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)