Tuberculosis differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Bacterial pneumonia | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Bacterial pneumonia | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Sudden onset of symptoms, such as high [[fever]], [[cough]], [[ | | style="padding: 5px 5px; background: #F5F5F5;" | Sudden onset of symptoms, such as high [[fever]], [[cough]], purulent [[sputum]], [[chest pain]]. Consolidation on chest X-ray, [[leukocytosis]]. | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Bronchogenic carcinoma | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Bronchogenic carcinoma | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Mycoplasmal pneumonia | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Mycoplasmal pneumonia | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Gradual onset of [[dry cough]], [[headache]], [[malaise]], [[sore throat]]. Diffuse bilateral infiltrates in chest X-ray. | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Sarcoidosis | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Sarcoidosis | ||
Revision as of 20:02, 4 September 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Pulmonary tuberculosis must be differentiated from other diseases that cause cough, fever, night sweats, hemoptysis and weight loss, such as: brucellosis, bronchogenic carcinoma, Hodgkin lymphoma, bacterial pneumonia, sarcoidosis, mycoplasmal pneumonia.
Differential Diagnosis
Pulmonary Tuberculosis
| Disease | Findings |
|---|---|
| Bacterial pneumonia | Sudden onset of symptoms, such as high fever, cough, purulent sputum, chest pain. Consolidation on chest X-ray, leukocytosis. |
| Bronchogenic carcinoma | Can be asymptomatic, usually at older ages (> 50 years old), cough, hemoptysis, weight loss |
| Brucellosis | Fever, anorexia, night sweats, malaise,back pain , headache, and depression. History of exposure to infected animal |
| Hodgkin lymphoma | Fever, night sweats, pruritus, painless adenopathy, mediastinal mass |
| Mycoplasmal pneumonia | Gradual onset of dry cough, headache, malaise, sore throat. Diffuse bilateral infiltrates in chest X-ray. |
| Sarcoidosis | Non-caseating granulomas in lungs and other organs, bilateral hiliar adenopathy, predominantly in African American females. |
Extra-Pulmonary Tuberculosis
| Extra-Pulmonary Location | Differential Diagnosis |
|---|---|
| Tuberculous Lymphadenitis | |
| Skeletal Tuberculosis | |
| Central Nervous System Tuberculosis | |
| Tuberculosis Peritonitis |