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4.1.1

Pulmonary TB (PTB)

National TB Management Guidelines, 2018 Edition. Chapter 4, Approach to TB diagnosis.

Clinical description

In the early stages of the disease, symptoms are non-specific. Symptoms classically consist of cough, fever, weight loss, night sweats, and loss of appetite, general malaise and weakness.

Absence of fever or cough does not exclude a diagnosis of TB, particularly in patients with advanced HIV or malnutrition. Many patients may have no abnormalities detected on chest auscultation whereas others may have crackles overlying the involved areas.

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