Infectious Granulomas
Infection is a common cause of granuloma formation. The most common infections resulting in granulomas are tuberculosis, fungi, and parasites.
Part 1 Tuberculosis
Abida K. Haque
Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis that is spread person to person via airborne droplets. Subjects not previously exposed develop primary tuberculosis, characterized by the formation of a Ghon focus. Mycobacteria are carried by macrophages to lymph nodes, and hematogenous spread of disease may then occur. Most patients remain without symptoms and heal; however, in some patients, disease advances into progressive primary tuberculosis. In some patients, disease progresses after a latency period (progressive postprimary tuberculosis). Progressive tuberculosis is typically symptomatic and may be complicated by tuberculous bronchopneumonia, miliary tuberculosis, and tuberculous empyema.
Histologic Features
Infection with M. tuberculosis is characterized by the formation of granulomas with central caseating necrosis, surrounded by lymphocytes, histiocytes, and multinucleated giant cells.
Rarely, there may be noncaseating granulomas.
Tubercle bacilli are often difficult to find, and a careful search of the caseous areas in the center of the granulomas is required.
Tubercle bacilli stain red with Ziehl-Neelsen stain or modified Kinyoun stain.Stay updated, free articles. Join our Telegram channel
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