sign and symptom
pulmonary tuberculosis, there is the almost imperceptible onset of a cough. This slowly progresses over weeks or months to become more frequent and associated with the production of mucoid or mucopurulent sputum. Hemoptysis also may occur. Occasionally, there is recurring dull, aching pain or tightness in the chest. Dyspnea is uncommon and usually indicates extensive parenchymal involvement, massive pleural effusion, or other underlying cardiopulmonary disease. Some patients present with the acute onset of productive cough, fever, chills, myalgia, and sweating similar to the signs and symptoms of influenza, acute bronchitis, or pneumonia. Physical findings may include rales or signs of lung consolidation.