Ghon Complex: Clinical Significance and Nursing Management-An Updated Review

Norah Ali Albishi (1), Kalthom Yahya Bakar Abdullah (1), Ashwaq Ruwayshid Alanazi (1), Eman Ali Ahmad (2), Mai Mahdi Alshammari (3), Hamsaa Alhumaidi Alqahtani (3), Alanoud Mohammed (4), MISHARI ALMUTAIRI (5), Reem Mohammad Ali Alshehri (6), THALLAB ALMUTAIRI (5), Saud Faisal Almutairi (5), Safia Ibrahim Alfifi (7)
(1) Al-Muzahimiyah General Hospital, Ministry of Health, Saudi Arabia,
(2) Al-Muzahimiyah Health Center, Riyadh, Ministry of Health, Saudi Arabia,
(3) Al-Muzahimiyah General Hospital, Al-Muzahimiyah, Ministry of Health, Saudi Arabia,
(4) Diriyah Hospital, Riyadh, Ministry of Health, Saudi Arabia,
(5) Al-Mithnab General Hospital, Ministry of Health, Saudi Arabia,
(6) Mohyle general hospital, Ministry of Health, Saudi Arabia,
(7) Saud Faisal Almutairi, Ministry of Health, Saudi Arabia

Abstract

Background: The Ghon complex represents the classic pathological and radiological hallmark of primary pulmonary tuberculosis (TB), reflecting the interaction between Mycobacterium tuberculosis and host immunity. Recognition of this entity remains clinically relevant, particularly for early diagnosis, infection control, and prevention of disease progression or transmission. 


Aim: This review aims to examine the clinical significance of the Ghon complex and highlight nursing, allied health, and interprofessional roles in its detection, management, and monitoring.


Methods: An updated narrative review of radiological, histopathological, and clinical evidence regarding the Ghon complex was conducted, with emphasis on diagnostic approaches, nursing interventions, infection prevention measures, and interprofessional collaboration in tuberculosis care. 


Results: The Ghon complex commonly presents as a subpleural parenchymal lesion with regional lymphadenopathy and may progress to latency, healing, or active disease. Radiographic findings are variable and may be absent in some cases, complicating diagnosis. Nurses play a pivotal role in early recognition, symptom screening, isolation initiation, patient education, treatment adherence, and longterm monitoring, thereby reducing nosocomial transmission and improving outcomes. 


Conclusion: Understanding the Ghon complex supports timely diagnosis, effective tuberculosis management, and coordinated interprofessional care.

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Authors

Norah Ali Albishi
noalalbishi@moh.gov.sa (Primary Contact)
Kalthom Yahya Bakar Abdullah
Ashwaq Ruwayshid Alanazi
Eman Ali Ahmad
Mai Mahdi Alshammari
Hamsaa Alhumaidi Alqahtani
Alanoud Mohammed
MISHARI ALMUTAIRI
Reem Mohammad Ali Alshehri
THALLAB ALMUTAIRI
Saud Faisal Almutairi
Safia Ibrahim Alfifi
Albishi, N. A., Kalthom Yahya Bakar Abdullah, Ashwaq Ruwayshid Alanazi, Eman Ali Ahmad, Mai Mahdi Alshammari, Hamsaa Alhumaidi Alqahtani, … Safia Ibrahim Alfifi. (2025). Ghon Complex: Clinical Significance and Nursing Management-An Updated Review. Saudi Journal of Medicine and Public Health, 2(2), 3129–3138. https://doi.org/10.64483/202522545

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