The study of clinical and X-ray manifestations of the disease in 270 patients has shown that the incidence of disseminated tuberculosis with its acute onset and marked clinical manifestations has greatly increased. It is difficult to make a diagnosis of recently more frequent tuberculosis of the intrathoracic lymph nodes in adults due to acute clinical manifestations resulting from nonspecific inflammation with frequent abscessing at the site of atelectasis in lobar and segmental bronchopulmonary lesions, due to late detection of meagre bacterial isolation, to frequent involvement sites in 3, 4, and 5 segments. Acute generalized disseminated tuberculosis generally follows obscure clinical manifestations from extrapulmonary inflammation in 2-4 months. Acute miliary tuberculosis has frequently accompanied by bacterial isolation and frequently destructions.

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