Systemic miliary TB occurs when spread occurs via -
Ans, is 'a' i.e., Arterial o Systemic miliary tuberculosis occurs when tubercle bacteria disseminate through the systemic arterial system. Miliary tuberculosis is most prominent in the liver, bone marrow, spleen, adrenals, meninges, kidneys, fallopian tubes, and epididymis, but could involve any organ.o Miliary pulmonary disease occurs when organisms draining through lymphatics enter the venous blood and circulate back to the lung.
Arterial
Venous
Lymphatic
Direct dissemination