Clinical Classification of Tuberculosis (Its quite big! but very useful :))

The classification of tuberculosis consists of four basic sections:

1.Clinical forms of tuberculosis

2.Characteristic of tubercular process

3.Complication of tuberculosis

4.Residual changes after the cured tuberculosis

1.Clinical Forms of tuberculosis:

The clinical forms of tuberculosis differ on localization,clinical and roengenological features with the consideration of Pathogenic and pathomorphological process.

1.1. Tuberculous intoxication of children and adolescents.

1.2.Tuberculosis of respiratory organs:

a) Primary tubercular complex

b)Tubercular broncho-adenitis

c)Disseminated lung tuberculosis

d)Miliary lung tuberculosis

e)Focus lung tuberculosis

f)Infiltrative lung tuberculosis

g)Caseous Pneumonia

h)Lung tuberculoma

i)Cavernous lung tuberculosis

j)Fibrotic-cavernous lung tuberculosis

k)Lung cirrhosis

l)Tuberculosis pleurisies (including empyema)

m)Tuberculosis of upper respiratory tract

n)Tuberculosis of respiratory organs combined with professional disease (Conio-tuberculosis)

1.3.Non-Pulmonary tuberculosis(Tuberculosis of other organs and systems):

a)Tuberculous meningitis – Central nervous system

b)Tuberculosis of intestines,peritoneum,mesenteric lymph nodes – Digestive system

c)Tuberculosis of bones and joints

d)Genito-urinal tuberculosis

e)Cutaneous and sub-cutaneous tuberculosis

f)Tuberculosis of peripheral lymphatic nodes

g)Eye tuberculosis

h)Tuberculosis of other organs

2.Characteristic of tubercular process:

It is specified according to the process of localization,clinical and roengenological signs,presence or absence of Mycobacterium tuberculosis in the diagnostic material of patient.

a)Localization and extent specified:

-In lungs according to lobes and segments

-In other organs according to the damage

b)Phase:

i)Infiltration,disintegration,dissemination

ii)resolution,condensation,scarring,calcification

c)Bacterial expectoration:

i)With Mycobacterium tuberculosis expectoration (MBT+)

ii)Without Mycobacterium tuberculosis expectoration (MBT-)

3.Complications of tuberculosis:

a)Hemoptysis and lung hemorrhage

b)Spontaneous pneumothorax

c)Lung-heart insufficiency

d)Atelectasis

e)Amyloidosis

f)Fistulas and other.

4.Residual changes after cured tuberculosis:

a)Respiratory organs – fibrous,fibrotic-focus,bullous-dystrophy,calcinates in lungs and lymph nodes,pleuro-pneumosclerosis,cirrhosis,conditions and after surgical operations and other.

b)Other organs – scarring changes in different organs and their consequences,calcification,condition after surgical operation.