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To understand the complication of Tb, first of all we need to know the pathological fate of the disease complex. As we know that, the primary TB consist of some characteristic components which are the Ghon's Focus (granuloma), Lymphadenitis and Lymphangitis. So, the fate of these complex may be either heal in 90% of cases or Spread in 10% of cases.
Healing of TB by fibrosis will lead to [1]Pulmonary Fibrosis. This fibrosis will eventually cause the bronchi to dilate, known as [2]Brochiectasis. The healing of TB of the upper zones of the lung will cause Bronchiectasis Sicca Hemorrhagica whish is characterized by recurrent [3]Massive Hemoptysis.
While in case of spreading, the Ghon's focus may be enlarge then rupture into the bronchi causing [4]TB Pneumonia or into the blood vessels will cause [5]Hematogenous TB which then progress to Miliary TB. Because of the Ghon's focus presence as the subpleural lesion, when it rupture into the pleura will cause TB [6]Pleural Effusion. The rupture of this granuloma will live a hole [7]Cavitation inside the lung.
Healing of TB by fibrosis will lead to [1]Pulmonary Fibrosis. This fibrosis will eventually cause the bronchi to dilate, known as [2]Brochiectasis. The healing of TB of the upper zones of the lung will cause Bronchiectasis Sicca Hemorrhagica whish is characterized by recurrent [3]Massive Hemoptysis.
While in case of spreading, the Ghon's focus may be enlarge then rupture into the bronchi causing [4]TB Pneumonia or into the blood vessels will cause [5]Hematogenous TB which then progress to Miliary TB. Because of the Ghon's focus presence as the subpleural lesion, when it rupture into the pleura will cause TB [6]Pleural Effusion. The rupture of this granuloma will live a hole [7]Cavitation inside the lung.
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