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APC
CD4 T lymphocytes
Monocytes
Epitheloid Macrophages
Tuberculosis Pathogenesis
• Bacterial entry
• T Lymphocytes.
• Macrophages.
• Epitheloid cells.
• Proliferation.
• Central Necrosis.
• Giant cell formation.
• Fibrosis.
Mechanisms of
granuloma
formation
Infection - Immunity
Pathogenesis of TB:
• MBBS ST CCLL:
 Mycobacterium Tuberculosis
 Brucellosis
 Berryliosis
 Syphilis
 Sarcoidosis
 Cat-scratch disease
 Crohn's disease
 Leprosy
 Lipid granuloma- Foreign body granulomas
 Lymphogranuloma Inguinale
TB- Lymph node
Intestinal Tuberculosis
Lung Miliary Tuberculosis
Tubercular Caseous Necrosis & Giant cells
Tubercular Granulomatous Inflammation
Epitheloid Macrophages
Foreign body granuloma.
Lipid granulomas.
Sarcoidosis.
Crohns disease.
Fungal infections.
Cat scratch disease.
Brucellosis.
Leprosy.
Syphilis.
Berilliosis
Lymphogranuloma venerium
4. chronic inflammation  granulomatous inflammation -dr. sinhasan- mdzah

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