Schuit K E
Am J Dis Child. 1979 Jun;133(6):583-5. doi: 10.1001/archpedi.1979.02130060023003.
The clinical course of 19 children with miliary tuberculosis was studied. Complaints were nonspecific and included fever, anorexia, weight loss, and night sweats. Although all but one child had a miliary infiltrate visible on the chest roentgenogram, only 13 had a positive reaction to the purified protein derivative of the tuberculin test at admission to the hospital. Outcome was excellent unless the child also had tuberculous meningitis or was in a far advanced state of the disease. Miliary tuberculosis continues to be a rare but important cause of illness in the pediatric population. Seriously ill children with undiagnosed conditions of febrile disease deserve an aggressive evaluation for miliary tuberculosis, including an epidemiological survey, serial chest roentgenograms, and extensive, repeated culturing.
对19例粟粒性肺结核患儿的临床病程进行了研究。主诉无特异性，包括发热、厌食、体重减轻和盗汗。尽管除1例患儿外，其他所有患儿胸部X线片上均可见粟粒状浸润影，但入院时只有13例对结核菌素试验的纯蛋白衍生物呈阳性反应。除非患儿同时患有结核性脑膜炎或处于疾病晚期，否则预后良好。粟粒性肺结核在儿童人群中仍然是一种罕见但重要的致病原因。患有未确诊的发热性疾病的重症患儿应积极评估是否患有粟粒性肺结核，包括进行流行病学调查、系列胸部X线片检查以及广泛、反复的培养。
