Dally S, Conso F, Tourreau D, Gaultier M
Sem Hop. 1977 Dec 16;53(43):2489-92.
The authors present 16 cases of multifocal tuberculosis observed over a period of five years on a general medical unit. These cases almost all occurred in immigrants. (14 out of 16) with at least 2 localisations in 9 of them and sometimes 3 or more. The viscera usually affected were, in order, the liver, the lymph nodes, the lungs and pleura, the joints. They emphasise the mildness of the clinical symptoms, the rareness of lung involvement and, on the contrary, the constancy of hepatic involvement so that needle biopsy of the liver is essential in diagnosis.
作者报告了在一个普通内科病房5年期间观察到的16例多灶性结核病病例。这些病例几乎都发生在移民中(16例中有14例),其中9例至少有2个病灶部位,有时有3个或更多。通常受累的内脏依次为肝脏、淋巴结、肺和胸膜、关节。他们强调临床症状较轻,肺部受累少见,相反,肝脏受累恒定,因此肝脏穿刺活检对诊断至关重要。