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Differential diagnosis of pseudotuberculosis with tuberculosis ppt

14. Diagnosis. Tuberculosis is a diversified disease. Any organs can be involved. Any age group, gender no bar for Tuberculosis. Involvement of Lungs contribute to majority of tuberculosis. And involvement of Lungs is designated as Pulmonary tuberculosis. Dr.T.V.Rao MD 14 Tuberculosis (TB) (see the image below), a multisystemic disease with myriad presentations and manifestations, is the most common cause of infectious disease-related mortality worldwide. Although TB rates are decreasing in the United States, the disease is becoming more common in many parts of the world Clinical Presentation and Diagnosis of Tuberculosis 9 Diagnosis of TB: Fundamental principles Rapid and accurate diagnosis of TB is essential for the patient and to protect the public, especially in patients with pulmonary TB. Three steps Exposure TB infection Active TB diseas

Diagnosis of tuberculosis - SlideShar

  1. Pulmonary tuberculosis should be distinguished from other diseases that cause cough, hemoptysis, fever, night sweat, and weight loss such as: bacterial pneumonia, atypical pneumonia, brucellosis, bronchogenic carcinoma, sarcoidosis, and Hodgkin lymphoma. Differential Diagnosis Pulmonary Tuberculosis
  2. ated water, or by the consumption of conta
  3. ation will in most instances make the diagnosis. Do not hesitate, however, in appropriate cases to keep the patient under observation until an accurate diagnosis can be made
  4. Specific laboratory diagnosis of pseudotuberculosis is the same as in yersiniosis. Promising methods of specific diagnostics are the immunoenzyme test system based on the porin Y. Pseudotuberculosis protein and erythrocyte antigenic diagnosticum for RIGA based on cell wall proteins Y. Pseudotuberculosis
  5. Parkar AP, Kandiah P. Differential diagnosis of cavitary lung lesions. JBR-BTR 2016;100(1):100. Nishiumi N, Inokuchi S, Oiwa K, Masuda R, Iwazaki M, Inoue H. Diagnosis and treatment of deep pulmonary laceration with intrathoracic hemorrhage from blunt trauma. Ann Thorac Surg. 2010;89(1):232-238. Kaewlai R, Avery LL, Asrani AV, Novelline RA

Infection by M. tuberculosis is a serious global health problem, with approximately one third of the world's population harboring M. tuberculosis. Approximately 9 × 10 6 new cases of tuberculosis and approximately 2 × 10 6 deaths from tuberculosis occur each year. In Central Africa, for example, tuberculous lymphadenitis is the most common. Yersinia pseudotuberculosis is the least common of the 3 main Yersinia species that cause infections in humans. Y pseudotuberculosis primarily causes zoonotic infection in various hosts, including domestic and sylvatic animals and birds, but has been associated with food-borne infection in humans

Chapter 4: Diagnosis of TB Disease. 77. Introduction. Tuberculosis (TB) is not as common as it was many years ago in the United States; consequently, clinicians do not always consider the possibility of TB disease when evaluating patients who have . symptoms. As a result, the diagnosis of TB disease may be delayed or even overlooked, and th Differential diagnosis of pulmonary tuberculosis is discussed. Chest X-ray findings of pulmonary tuberculosis may be greatly varied, because tuberculosis may cause three different lesions: an exudative lesion, a proliferative lesion, and a fibrotic lesion, and because it may invade all the structure

A high index of suspicion for M. tuberculosis as an alternative diagnosis should also prevail in the elderly , given the fact that there is an age-related increase in the prevalence of M. tuberculosis-related lower-lobe disease, and in view of the fact that frequency of cavitation in the TB group showed a negative correlation with age in. In horses, Corynebacterium pseudotuberculosis causes ulcerative lymphangitis (an infection of the lower limbs) and chronic abscesses in the pectoral region and ventral abdomen. It is a common and economically important infectious diseases of horses and cattle worldwide. In cattle, the bacteria most commonly cause cutaneous excoriated granulomas Tuberculous pericarditis is an important complication of tuberculosis (TB); the diagnosis can be difficult to establish and is often delayed or missed, resulting in late complications such as constrictive pericarditis and increased mortality [ 1 ]. Options for management of advanced disease are limited Avian tuberculosis (avian TB) is a chronic wasting disease caused by infection with Mycobacterium avium that can affect a wide range of bird species and may infect a number of mammalian species. Classification: OIE List B disease Differential diagnosis Pseudotuberculosis (more common in ducks and turkeys than the domestic fowl

Yersinia pseudotuberculosis is a Gram-negative, non-lactose fermenting coccobacillus with the capacity to infect both humans and animals, but it is primarily a zoonotic infection [1,8]. Reported human cases of Y. pseudotuberculosis stem from food and water contamination Yersinia pseudotuberculosis is a gram-negative, coccobacillus that is differentiated by its fermentation of sorbitol and ornithine decarboxylase activity, among other features. The optimum growth occurs on MacConkey medium at 20 C to 35 C. Yersinia pseudotuberculosis is aerobic and facultatively anaerobic Radiological Differential Diagnosis of Chest Diseases - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. A brief but informative PPT for radiological differential diagnosis in various chest disease Inflammatory bowel disease (IBD) is characterised by episodes of relapse and periods of remission. However, the clinical features, such as abdominal pain, diarrhoea, and rectal bleeding, are not specific. Therefore, the differential diagnosis can include a broad spectrum of inflammatory or infectious diseases that mimic IBD, as well as others that might complicate existing IBD

Tuberculosis (TB) Differential Diagnoses - Medscap

1. Pediatriia. 1981;(8):63-4. [Differential diagnosis of icteric forms of pseudotuberculosis and viral hepatitis]. [Article in Russian] Bystriakova LV, Zaĭtseva RV, Matushkina AP, Sivashinskaia FG, Leshikhina NV Miliary tuberculosis differential diagnosis On the Web Most recent articles. Most cited articles. Review articles. CME Programs. Powerpoint slides. Images. American Roentgen Ray Society Images of Miliary tuberculosis differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI; Ongoing Trials at Clinical Trials.gov. US National.

2.2 Diagnosis 2.2.1 Basic steps As with any systemic vasculitis the diagnosis of pulmonary-renal syndrome is made in three steps: 1. Adequate evaluation and networking of existing and past patient's symptoms. 2. Establishing the diagnosis by laboratory, technical and biopsy examinations. 3. Differential diagnosis of vasculitis. 2.2.2 Imagin 1. MMW Munch Med Wochenschr. 1979 Jul 6;121(27):915-6. [Combined infection with yersinia pseudotuberculosis and mycobacterium tuberculosis as a rare cause of obstructive icterus] 2.1 Pulmonary tuberculosis (PTB) Certain signs of PTB are quite typical: prolonged cough (lasting more than 2 weeks) and sputum production, while others are less so: weight loss, anorexia, fatigue, shortness of breath, chest pain, moderate fever, and night sweats. Haemoptysis (blood in sputum) is a characteristic sign present in about one third.

Chapter 3 - The diagnosis of tuberculosis in adults: 3.1 Pulmonary TB: 3.1.1 Diagnostic approach: 3.1.2 Clinical features: 3.1.3 Diagnostic sputum smear microscopy: 3.1.4 Differential diagnosis of pulmonary TB: 3.1.5 Chest X-rays in diagnosis: 3.1.6 Patterns of disease in PTB: 3.1.7 Differential diagnosis of chest X-ray finding INTRODUCTION. Central nervous system (CNS) tuberculosis (TB) includes three clinical categories: tuberculous meningitis, intracranial tuberculoma, and spinal tuberculous arachnoiditis. All three categories are encountered frequently in regions of the world where the incidence of TB is high and the prevalence of post-primary dissemination is. Corynebacterium Pseudotuberculosis Infection is a disease caused by the Corynebacterium pseudotuberculosis bacterium. It is commonly found in animals, such as sheep, goat, and cattle, from where the infection is transmitted to humans. The transmission occurs on physical contact with the infected animals, while handling them (through open cuts. DIFFERENTIAL DIAGNOSIS The onset of COPD is insidious. Pathological changes may begin years before symptoms appear. The major differential diagnosis is asthma, and in some cases, a clear distinction between COPD and asthma is not possible. Some people have coexisting asthma and COPD. Other potential diagnoses are easier to distinguish from COP D2

Basic diagnostic procedure and difficulties. The differential diagnoses of granulomatous lung disease are listed in table 1.As histological abnormality alone is rarely diagnostic for a specific granulomatous disorder, the diagnostic procedure should focus on precise clinical evaluation, laboratory testing, detection of infectious organisms and radiological evaluation Encephalitis refers to an acute, usually diffuse, inflammatory process affecting the brain. While meningitis is primarily an infection of the meninges, a combined meningoencephalitis may also occur. An infection by a virus is the most common and important cause of encephalitis, although other organisms may sometimes cause an encephalitis. An encephalitic illness caused by alteration of normal. Differential diagnosis of Crohn's disease and amebiasis M. tuberculosis has a sensitivity of 80 percent and a specificity of 100 percent.24 Figure 1. Tuberculous lymphadenitis. Computed tomo

Tuberculosis differential diagnosis - wikido

Tuberculous dactylitis, also known as spina ventosa, is a rare skeletal manifestation of tuberculosis where the short tubular bones (i.e. phalanges, metacarpals, metatarsals) are affected. Epidemiology Tuberculous osteitis is one of the commone.. Tuberculosis (TB) is an infection caused by Mycobacterium tuberculosis, which can cause disease in multiple organs throughout the body, including the eye.The term ocular TB describes an infection by the M. tuberculosis species that can affect any part of the eye (intraocular, superficial, or surrounding the eye), with or without systemic involvement Differential diagnosis of CNS TB includes multiple brain metastases (which associated with more edema); sarcoidosis (which are associated with parenchymal nodules and have multiple dural and/or leptomeningeal nodules, multifocal or multicentric primary tumour,and fungal infections. Presentation material is for education purposes only Pulmonary cavitation is found during the course of many various illnesses affecting the lungs. Various text-books on Radiology have attempted to describe typical lesions, using location, shape, size, number and character of the walls of the cavities as criteria. The character of the surrounding pulmonary parenchyma also aids in the differential diagnosis It may take any form clinically, but with decline in number, these tuberculosis lesions of oral cavity have become so rare that they are frequently overlooked in the differential diagnosis of oral lesions [3,4]. Although, oral manifestations of tuberculosis has a rare occurrence, but it has been considered to account for 0.1-5% of all TB.

Pathology of spontaneous tuberculosis and pseudotuberculosis in fish The pathology of two infectious granulomatous diseases of aquarium‐maintained fish are described. Two fish showed widespread occurrences of hard and soft tubercles which contained clumps of acid‐fast bacilli, confirming the diagnosis of fish tuberculosis The differential diagnosis for sarcoidosis is broad because of the nonspecific symptoms and diverse clinical presentations. and human immunodeficiency virus and tuberculosis tests.1 Because.

Miliary pulmonary tuberculosis occurs in disseminated disease, and it is not uncommon to find involvement of other organs, such as the spleen, liver, and central nervous system. Microbiologic diagnosis can be delayed because acid fast bacilli staining of sputum smears is infrequently positive in patients with miliary tuberculosis A wide variety of non-neoplastic conditions may be encountered on colorectal biopsy encompassing idiopathic, infectious, vascular and immune-mediated aetiologies. Although interpretation of such biopsies may be challenging, appreciation of the dominant pattern of injury and subsequent host response may allow for a more focused histological diagnosis in the correct clinical and endoscopic setting Pulmonary diseases due to mycobacteria cause significant morbidity and mortality to human health. In addition to tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), recent epidemiological studies have shown the emergence of non-tuberculous mycobacteria (NTM) species in causing lung diseases in humans. Although more than 170 NTM species are present in various environmental niches. Pulmonary manifestations of tuberculosis are varied and depend in part whether the infection is primary or post-primary. The lungs are the most common site of primary infection by tuberculosis and are a major source of spread of the disease and of individual morbidity and mortality.. A general discussion of tuberculosis is found in the parent article: tuberculosis; and a discussion of other.

Pseudotuberculosis British Society for Immunolog

Tuberculosis (TB) is the leading cause of death from a single infectious agent [].The incidence of drug-resistant TB has increased steadily in the past years, threatening the goal to end the TB pandemic [].In patients with or multidrug-resistant (MDR-TB), defined as an infection by a Mycobacterium tuberculosis complex (MTBC) strain showing resistance to at least rifampicin and isoniazid. Tuberculosis (TB) continues to be a major health burden globally more so in low/middle-income countries like India. There is an increase in the prevalence of extrapulmonary TB (EPTB) because of HIV epidemics and increased usage of immunomodulating drugs. EPTB constitutes 15%-20% of all patients with TB and >50% of HIV-TB coinfected patients. We present three such atypical presentations of. Nasolacrimal obstruction and eyelid fistula formation may also occur in GPA. Although ocular tuberculosis is rare and most commonly manifests as chorioretinitis and uveitis, chorionic masses may also be seen (14,15), with metastasis, melanoma, and other GDs as important differential diagnoses at imaging

Axial unenhanced high-resolution CT scan shows countless tiny micronodules representing multiple and diffuse granulomas in a random distribution, with bronchial wall thickening. When this pattern is seen, the differential diagnosis should include miliary tuberculosis, pneumoconiosis, and metastatic lesions. Figure 1 The clinicopathological manifestations of cutaneous tuberculosis are diverse. The precise diagnosis is often overlooked, due to clinical presentations as those of cutaneous diseases with different etiology and the relative paucity of the pathogens in the lesions. Meanwhile, almost all of the diagnostic methods confer lower sensitivity and specificities which augments further diagnostic challenges TB (N = 16) diagnosed between 2010 and 2013 were identified. Specimens obtained via endoscopy were analyzed microscopically by a pathologist. The relationship between endoscopic appearance and histopathological features was analyzed. The χ2 test, Fisher's exact probability test, and the Mann-Whitney U test were used. Granulomas were present in 81.3% of ITB cases and in 67.3% of CD cases (P.

The Differential Diagnosis of Pulmonary Tuberculosis

Diagnosis of pseudotuberculosis Competently about health

Abstract. The differential diagnosis of Crohn's disease (CD) and intestinal tuberculosis (ITB) remains difficult as the clinical symptoms of the 2 digestive diseases are so similar. Here we report a case where a patient was initially misdiagnosed with ITB prior to the correct CD diagnosis Hepatobiliary system involvement is frequently seen as part of disseminated tubercular infection. But primary isolated hepatobiliary tuberculosis with no evidence of tuberculosis elsewhere in the body is extremely rare. Isolated hepatobiliary tuberculosis can cause diagnostic dilemma as the clinical, laboratory and imaging features are non-specific in majority of the cases Differential diagnosis. A number of pathologies characterised by chest pain, such as acute coronary syndromes, aortic dissection, pulmonary embolism, pneumonia, pneumonitis, gastric ulcer, gastroesophageal reflux disease, pneumothorax and herpes zoster, are part of the differential diagnosis with acute pericarditis (Table 2). [19,20] Table 2 Tuberculous pleuritis is a common manifestation of extrapulmonary tuberculosis and is the most common cause of pleural effusion in many countries. Conventional diagnostic tests, such as microscopic examination of the pleural fluid, biochemical tests, culture of pleural fluid, sputum or pleural tissue, and histopathological examination of pleural tissue, have known limitations. Due to these.

TB or Not TB: Differential Diagnosis and Imaging Findings

The extensive differential diagnosis for dyspnea necessitates a careful and detailed history, physical exam and review of basic laboratory examinations including chest film, ECG, and hematocrit. The history should detail the time course of the complaint, its severity, associated symptoms, and the patient's past medical history SUMMARY Tuberculosis of the central nervous system (CNS) is a highly devastating form of tuberculosis, which, even in the setting of appropriate antitubercular therapy, leads to unacceptable levels of morbidity and mortality. Despite the development of promising molecular diagnostic techniques, diagnosis of CNS tuberculosis relies largely on microbiological methods that are insensitive, and as. Neck Swelling Types, definitions, Etiology, Clinical Features, Investigations, Differential Diagnosis and Treatment T. his is a heterogeneous group of lesions, presenting clinically as fluctuant, soft or firm, lateral or midline neck swellings.. The lesions may be asymptomatic, sensitive or painful, movable or fixed, solitary or multiple

Tuberculous Lymphadenitis - an overview ScienceDirect Topic

The diagnosis of tuberculous aetiology in pericardial effusions is important since the prognosis is excellent with specific treatment. The clinical features may not be distinctive and the diagnosis could be missed particularly with tamponade. With the spread of HIV infection the incidence has increased. The diagnosis largely depends on histopathology of the pericardial tissue or culture of. The aim of this study was to investigate the significance of positive tuberculosis interferon gamma release assay (TB-IGRA) in the differential diagnosis of intestinal tuberculosis (ITB) and Crohn's disease (CD) patients, and to find a suitable threshold to help distinguishing CD from tuberculosis (TB), so as to provide better recommendations. Diagnosis of EPT. When EPT is suspected, one should always look for pulmonary tuberculosis. If there is pulmonary involvement, sputum examination for Mycobacterium tuberculosis is a simple, non-invasive test, with good diagnostic yield on direct microscopic examination, molecular testing and cultures. Also, lung involvement might make a patient contagious and has implications for isolation of. A 37 year old man presented at another centre with a three week history of high grade fever, chills, and cervical lymphadenopathy. Routine laboratory tests as well as a purified protein derivative (PPD) test were within the normal ranges. Computed tomography of the chest and abdomen showed massive lymphadenopathy in the mediastinum and retroperitoneum. A cervical lymph node biopsy disclosed.

Pseudotuberculosis (Yersinia pseudotuberculosis Infection

The diagnosis of TB is made on the basis of laboratory test results. The standard test for tuberculosis—which is the so-called tuberculin skin test—detects the presence of infection, not of active TB. Tuberculin is an extract prepared from cultures of M. tuberculosis. It contains substances belonging to the bacillus (antigens) to which an. note that tuberculosis (TB) may also show nonnecrotising granulomas, depending on the immune status of the patient. TABLE 1 Differential diagnosis of granulomatous lung diseases Infectious lung diseases Mycobacteria Tuberculosis and nontuberculous mycobacteriosis Fungal infection Cryptococcus, Coccidioides, Histoplasma, Blastomyces and Aspergillu Differential Diagnosis for Isolated (single) Ulcerations • Examination hints: - Note location of lesion (attached vs unattached mucosa) recurrent HSV occurs on attached (keratinized) mucosa while minor RAU occurs on movable mucosa - Note depth and shape of ulcer e.g. herpetic ulcerations tend to be shallow and irregula

Ancillary testing, via the blood tuberculosis test has been reported to greatly improve the sensitivity and specificity of the diagnosis of tuberculosis in farmed deer (Griffin et al., 1992; Griffin and Cross, 1986). Unfortunately, data needed to thoroughly analyze and interpret this test were not available to the committee Differential recognition of Mycobacterium tuberculosis (Mtb) epitopes correlates with conservation in the microbiome and less so in nontuberculous mycobacteria (NTM). Conservation of type 1 (n = 113; white dots ) and type 2 (n = 123; gray dots ) epitopes in ( A ) the human microbiome, ( B ) Mtb complex strains, and ( C ) NTM strains is shown

Radiological Case of the Month. Miliary Tuberculosis with Meningitis. G. A. Jackman, Arch Pediatr Adolesc Med. (Aug 1999, 153 (8)). Pp. 887-88. Diagnosis of Tuberculous Meningitis by Detection of Antigen and Antibodies in CSF and Sera. K. L. Srivastava et al., Indian Pediatr. (Apr 1998, 35 (9)). Pp. 841-50 Diagnosis and Follow-up Biopsy revealed acute and chronic inflammation, with poorly-formed granulomas. AFB stain negative. Fungal organisms were seen that were morphologically consistent with . Paracoccidioides. 6 weeks later, the fungal culture grew . Paracoccidioides brasiliensis Caseous lymphadenitis (CL) is a chronic, contagious disease caused by the bacterium Corynebacterium pseudotuberculosis. Although prevalence of CL varies by region and country, it is found worldwide and is of major concern for small ruminant producers in North America. The disease is characterized by abscess formation in or near major peripheral.

[Differential diagnosis of pulmonary tuberculosis

Phlyctenular keratoconjunctivitis is a nodular inflammation of the cornea or conjunctiva that results from a hypersensitivity reaction to a foreign antigen. Prior to the 1950s, phlyctenular keratoconjunctivitis often presented as a consequence of a hypersensitivity reaction to tuberculin protein due to high prevalence of tuberculosis Differential diagnosis to be considered while diagnosing pneumonia includes. Acute bronchitis. Chronic bronchitis with acute exacerbation. Heart failure. Pulmonary embolism. Hypersensitivity pneumonia. Radiation pneumonitis. Acute exacerbation of bronchiectasis, pulmonary fibrosis. Pulmonary vasculitis A never-smoking 82-year-old woman with a past medical history of type-2 diabetes presented to the outpatient clinic with a 3-4 months history of purulent bronchitis, haemoptysis, weight loss and fevers. She had lived in a small village in India and Pakistan all her life and had been visiting the UK intermittently until setting up permanent residency a few months ago. She denied any history.

Video: Pulmonary tuberculosis in the differential diagnosis of

Corynebacterium pseudotuberculosis Infection of Horses and

Tuberculous pericarditis - UpToDat

B303 - TUBERCULOSIS (AVIAN) - Pacific Communit

The clinical diagnosis of acute appendicitis is broad and includes pelvic inflammatory disease, inflammatory bowel disease, pancreatitis, peptic ulcer disease, Meckel diverticulum and many other entities. Malignant disease only rarely enters into the differential diagnosis of acute appendicitis. Comment Here Reference: Acute appendiciti Diagnosis. During the physical exam, your doctor will check your lymph nodes for swelling and use a stethoscope to listen to the sounds your lungs make when you breathe. The most commonly used diagnostic tool for tuberculosis is a skin test, though blood tests are becoming more commonplace. A small amount of a substance called tuberculin is. Although the incidence of tuberculosis increased in the late 1980's to early 1990's, the total number of cases has decreased in recent years. In the United States, bone and soft tissue tuberculosis accounts for approximately 10% of extrapulmonary TB cases and between 1% and 2% of total cases