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Pulmonary tuberculosis symptoms

Pulmonary tuberculosis is both an infectious and a contagious disease, with endemic character, produced by the bacterium called Mycobacterium tuberculosis (Koch bacillus), characterized by granuloma formations, with inflammation and tissue destruction, localized in the lungs with a natural chronic evolution (without treatment), consumptives and often fatal.

Symptoms of the pulmonary tuberculosis:

The beginning of the disease is most frequently insidious, dominated by general signs and symptoms. It is very often acute, accompanied by the cough up of blood, or with pseudo flu or pseudo pneumonia aspects. Sometimes depiction can be radiological at asymptomatic persons. The clinic picture is non-specific.

The general manifestations are frequently on the first plan: physical asthenia, anorexia, losing up weight (more than 10%), perspiration during the night, fever sensation which can vary. Amenorrhea can unjustifiably occur at women.

The breathing symptoms of tuberculosis are usually dominated by persistent cough. The cough that lasts for more than three weeks must be followed by a radiological investigation and/or a bacteriological one. Spitting is usually mucopurulent, in small quantity, but can also be inexistent, especially at women. Hemoptysis is relatively frequent, sometimes being the first symptom. It is in small quantities but it can be in bigger ones, threatening the life of the patient.

The physical examination of the thorax is not the best one can do. There can be crepitant rales localized especially after coughing, and which can be localized at a supraclavicular, suprascapular or at a suprascapulo-vertebral level. In the endobronchial affections can appear sibilant or ronflant rales. It is rarely present the complete pulmonary condensation syndrome.

Important: Persistent cough that lasts for more than three weeks is the most important sign for depicting the pulmonary tuberculosis.

The persistent cough that lasts for more than three weeks can also be produced by: asthma, posterior rhinorrhea, gastro esophageal reflux, administering inhibitors of the conversion enzyme (enalapril, ramipril, prestarium), bronchiectasies, chronic bronchitis,lung cancer, pneumoconiosis, mitral stenosis, left cardiac insufficiency.

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