Pieéron R, Mafart Y, Lesobre B, Hoock J
Sem Hop. 1977;53(14-15):805-11.
A study of 357 cases of tuberculosis in African negro immigrants seen between 1967 and 1971 showed the predominance of respiratory lesions especially pulmonary and/or hilar ganglio-mediastinal lesions compared with lesions elsewhere, e.g. lymph nodes, bones, joints, pericardium, peritoneum, livers, and the frequency of multiple lesions. Routine detection should be more frequent in high risk subjects, who are almost always allergic on arrival in France. In spite of frequent resistance, above all primary, treatment gave good results in 83% of cases. In future, we will have to take into consideration the possibility of relapses and perhaps more numerous resistances, including to rifamycin and ethambutol.
一项对1967年至1971年间收治的357例非洲黑人移民肺结核病例的研究表明,与其他部位的病变(如淋巴结、骨骼、关节、心包、腹膜、肝脏)相比,呼吸器官病变尤其是肺部和/或肺门-纵隔淋巴结病变占主导地位,且存在多发病变的情况。在高危人群中应更频繁地进行常规检测,这些人在抵达法国时几乎总是过敏的。尽管耐药情况频繁出现,尤其是原发性耐药,但83%的病例治疗效果良好。未来,我们将不得不考虑复发的可能性以及可能更多的耐药情况,包括对利福霉素和乙胺丁醇的耐药。