Clinical Presentation and Diagnosis of Tuberculosis
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This child has miliary tuberculosis. The term "miliary tuberculosis" is a poorly chosen term to describe the macroscopic morphology of disseminated tuberculosis forming myriads of millet-seed-sized caseating tubercles. Radiographically, this mycobacterial analogon of septicemia becomes visible only after the individual lesions attain a certain size. It is not a manifestation limited to the lungs, but may be present throughout the systems. It may be revealed in patients operated on because of an acute abdomen, showing innumerable peritoneal tubercles, feeling to the touch like sandpaper, without any radiographically visible lesions in the lung parenchyma.
