Progressive Pulmonary Tuberculosis – Progress Beyond the Walls

Authors

  • Anwar K A Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru
  • Aditya Kidiyoor Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru
  • Renju Raveendran Government medical college, Paripally, Kollam, Kerala

DOI:

https://doi.org/10.37506/9e7gbw38

Keywords:

Tuberculosis; Miliary; series; histopathology; autopsy.

Abstract

Tuberculosis is caused by Mycobacterium tuberculosis. If the treatment is inadequate or if host defenses are impaired, the apical lesion in primary tuberculosis expands into adjacent lung tissues and may spread via airways, lymphatic channels, or the vascular system. It may also circulate back to the lung and cause miliary pulmonary disease. Systemic miliary tuberculosis occurs when bacteria disseminate through the systemic arterial system to involve any organ. In the present study, we discuss five such cases of systemic miliary tuberculosis wherein the deceased succumbed to the illness.

Author Biographies

  • Anwar K A, Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru

     Assistant professor, Department of Forensic medicine & Toxicology, Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru

  • Aditya Kidiyoor, Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru

    Assistant professor, Department of Forensic medicine & Toxicology, Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bengaluru

  • Renju Raveendran, Government medical college, Paripally, Kollam, Kerala

    Head and Professor, Department of Forensic medicine & Toxicology, Government medical college, Paripally, Kollam, Kerala.

References

World Health Organization. Global tuberculosis report 2018. Geneva: WHO; 2017.

Kumar.V,AbbasA.K,Fausto.NROBBINS & COTRAN.PATHOLOGIC BASIS OF DISEASE 8th edition

Robert L. Serafino Wani, Tuberculosis 2: Pathophysiology and microbiology of pulmonary tuberculosis; South Sudan Medica Journal; Volume 6, no. 1, February 2013; p10-12

Sahn SA, Neff TA. Miliary tuberculosis. Am J Med. 1974;54:495–505.

Talavera W, Miranda R, Lessnau KKL, Klapholz A. Extrapulmonarytuberculosis. In: Friedman LN, ed. Tuberculosis: Current Concepts andTreatment. 2nd ed. Boca Raton, Fla.: CRC Press; 2001:518.

Counsell SR, Tan JS, Dittus RS. Unsuspected pulmonary tuberculosis ina community teaching hospital. Arch Intern Med. 1989;149:1274–1278.

Alvarez S, McCabe WR. Extrapulmonary tuberculosis revisited: a review of experience at Boston City and other hospitals. Medicine (Baltimore) 1984; 63 : 25-55.

Gurkan F, Bosnak M, Dikici B, Bosnak V, Yaramis A, Tas MA, et al. Miliary tuberculosis in children: a clinical review. Scand J Infect Dis 1998; 30 : 359-62

Long R, O'Connor R, Palayew M, Hershfield E, Manfreda J. Disseminated tuberculosis with and without a miliary pattern on chest radiograph: a clinical-pathologic-radiologic correlation. Int J Tuberc Lung Dis 1997; 1 : 52-8

Udani PM, Bhat US, Bhave SK, Ezuthachan SG, Shetty VV. Problem of tuberculosis in children in India: epidemiology, morbidity, mortality and control programme. Indian Pediatr 1976; 13 : 881-90.

Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease. Lancet Infect Dis 2005; 5 : 415-30

Di Maio VJ, Di Maio DJ. Death due to natural diseases Forensic pathology. 2nd ed. London: CRC Press. 2001. p. 74. 11.Golden M.D, Vikram HR. Extra pulmonary Tuberculosis: An overview. Am Fam Physician. 2005;72:1761-8

Rastogi P, Palimar V. A case series of tuberculosis related sudden death. J Forensic Leg Med. 2010;17(8):441–2.

Downloads

Published

2024-05-13

How to Cite

Progressive Pulmonary Tuberculosis – Progress Beyond the Walls. (2024). Medico Legal Update, 24(2), 6-10. https://doi.org/10.37506/9e7gbw38