Miliary Tuberculosis

Miliary tuberculosis is a form of dissiminated or extrapulmonary tuberculosis that is caused by sudden diffuse dissemination of tubercle bacilli through the bloodstream (hematogenous spread of TB).
Miliary Tuberculosis mainly occurs in children and young adults but may also occur in older people and it is insidious in onset in this older age group.
Miliary TB is can be difficult to diagnose especially in older age group in which case it is known as Cryptic Tuberculosis (because of its insidious onset). It occurs when the organisms reach the blood stream, either in primary or secondary tuberculosis. Miliary TB got its name in 1700 from John Jacob Manget based on how it appears on autopsy findings.
The bodies would have a lot of very small spots similar to hundreds of tiny seeds about 2 millimeters long scatted in various tissues.
Since a millet seed is about that size, the condition became known as miliary TB.
It’s a fatal disease if left untreated it would kill the patient in days or few weeks. The miliary lesions may enlarge and coalesce, resulting in consolidation of large regions or even whole lobes of the lung. Systemic miliary tuberculosis occurs when bacteria disseminate through the systemic arterial system. The liver, bone marrow, spleen, adrenals, meninges, kidneys, fallopian tubes, and epididymis, but could involve any organ. 10 to 30% of adults, and 20-40% of children with miliary tuberculosis have tuberculous meningitis.

[@TheMoor11]

This was a very good video, you explained things very well. I hope that you continue uploading more pathology videos. thank you so much!

[@pathologyprof.dr.tahanyeis3595]

Thank you

[@marehman1636]

IT REALLY HELP US THANKS FOR MAKING THIS VIDEO ....

[@dr.joydevghara8570]

Thank you very much

[@anshudeo9224]

Thank you so much. Such a well explained video really greatful ❤😊

[@macphersonphiri7711]

Great video Prof ......
I like the Prof she explains detailed information

[@saymapatel5594]

Ma'am your voice is too cute❤

[@dodamirchi3246]

Thanx ma'am .

[@dianasmyres1579]

Excellent!❤️👍🙏🙏

[@besttime8080]

Question:So if miliary tuberculosis is extrapulmonary tuberculosis as you said at the beginning of the video, why do we see these millet-like lesions in the lungs? Does that mean it is both Pulmonary and extrapulmonary??🤔🤔

[@pathologyprof.dr.tahanyeis3595]

Miliary pulmonary disease occurs when organisms draining through lymphatics enter the venous blood and circulate back to the lung. Individual lesions are either microscopic or small, visible (2-mm) foci of yellow-white consolidation scattered through the lung parenchyma (the adjective “miliary” is derived from the resemblance of these foci to millet seeds). Miliary lesions may expand and coalesce, resulting in consolidation of large regions or even whole lobes of the lung.

[@besttime8080]

@@pathologyprof.dr.tahanyeis3595 Alright. Thank you so much 🙌🙌

[@s.avinash2031]

Thank you mam. You covered a lot

[@akshathferrara9029]

Amazing mam

[@calmprince7231]

You are great

[@pathologyprof.dr.tahanyeis3595]

Thank you

[@JK02CLAN]

My mother diagonse miliary TB in lung 3 months back now situtaion became very serious she had a brain swelling doctors told it is because of TB. They are giving heavy steriods Dexamathasone. and now she has very high fluctuations in sugar level also. Please tell us that it is treatable or not and please suggest us hospital for that.

[@mayurmawale4029]

Bhai, my mother has also been detected by miliary tb. She is on Oxygen. What is your mother's health now ?

[@sumbalshahid5478]

What’s your mother health now? Can u plz refer me best doctors for this disease. My sister is also suffering from this disease😭

[@Jeffrey561]

​@@sumbalshahid5478How is she doing?

[@Jeffrey561]

​@@mayurmawale4029Hello app k mother kaise ha?