Dissemination - diffusion or spreading. Accordingly, disseminated tuberculosis is diagnosed in the event that the pathogen of infection has passed beyond the primary focus. Move to disease-causing organisms on the circulatory or lymphatic system. Koch sticks - they are the main pathogens of tuberculosis - can be scattered within one organ, or spread throughout the body.
Is disseminated pulmonary tuberculosis contagious or not?
Since this causative agent does not disappear anywhere, disseminated TB is contagious. Adults suffer from this ailment much more often than children. If the disease was diagnosed in a child, this indicates a sufficiently high prevalence of infection among the environment of a small patient.
To develop disseminated pulmonary tuberculosis, the following conditions are required:
- The patient is infected with tuberculosis, or in his body there are residual changes after a recent illness.
- The patient's immune system can not provide sufficient resistance.
- Mycobacterium develops in the body.
The factors that determine the development of hematogenous or lymphogenous disseminated tuberculosis are:
- absence of BCG vaccine in blood;
- starvation;
- congenital or acquired immunodeficiency;
- frequent infections;
- hormonal disorders;
- long-term use of immunosuppressants.
The main symptoms of disseminated tuberculosis are:
- weakness;
- frequent headaches;
- dyspeptic disorders;
- excessive sweating;
- a sharp increase in temperature to 38-39 ° C;
- rave;
- tachycardia;
- sore throat .
Treatment of disseminated pulmonary tuberculosis
The fight against tuberculosis spreading through the body should be carried out in a hospital. The treatment scheme is similar to the traditional one: several antibacterial medicines are prescribed simultaneously for the patient:
- Etambutol;
- Isiniazide;
- Pyrazinamide;
- Rifampicin .
In acute forms, immunomodulators and corticosteroids are necessarily prescribed:
- Prednisolone;
- Leukinferon;
- T-activin.
Chronic disseminated tuberculosis in the phase of infiltration is treated with Pneumoperitoneum. If the infection has developed immunity to medicines and the patient's condition does not return to normal, surgical intervention and removal of a part of the affected organ is required.