Kopylova I F, Narysheva Z D, Leliukh I A, Timoshchuk O A
Probl Tuberk. 2001(1):44-6.
Examination of 37 children and adolescents with long-term subfebrility and other manifestations of intoxication without local pathological changes included blood test (polymerase chain reaction) for M. tuberculosis. Tuberculous bacteriemia was discovered in 16(43.2%) cases. Non-acute onset and long-lasting intoxication, rejection of other reasons, tuberculin sensitivity, reduction or disappearance of the intoxication in antituberculous treatment, negative results of repeated PCR for M-tuberculosis gave grounds to suspect active tuberculosis in 13 children of 16. Clinical and x-ray picture corresponded to tuberculous intoxication in children and adolescents.
对37名患有长期低热及其他中毒表现但无局部病理变化的儿童和青少年进行了检查，包括针对结核分枝杆菌的血液检测（聚合酶链反应）。在16例（43.2%）病例中发现了结核菌血症。16名儿童中有13名具有非急性起病和长期中毒、排除其他原因、结核菌素敏感性、抗结核治疗中毒症状减轻或消失、结核分枝杆菌重复PCR检测结果为阴性等情况，这些都使人怀疑患有活动性结核病。临床和X线表现符合儿童和青少年的结核中毒症状。
