Iijima N, Takada K, Ina Y, Itou S, Miyachi A, Kakihara H, Noda M, Hashiba H, Arakawa K, Sato T
2nd Department of Internal Medicine, Nagoya City University Medical School, Japan.
Kekkaku. 1990 Mar;65(3):231-5.
A 28 year-old male was admitted to our hospital with persistent cough and high fever. He was diagnosed to have miliary tuberculosis by the transbronchial lung biopsy specimen and tuberculous choroidal lesions in the ocular fundus. Antituberculosis therapy was immediately started. In spite of the fact that the bacilli were sensitive to the antituberculosis drugs used and he had no other complications, high fever persisted and lasted for more than 2 months. When tuberculosis is suspected, and antituberculosis treatment is tried to observe its clinical response, the presence of similar cases mentioned above should be taken into consideration.
一名28岁男性因持续咳嗽和高热入院。经支气管肺活检标本及眼底结核性脉络膜病变诊断为粟粒性肺结核。立即开始抗结核治疗。尽管杆菌对所用抗结核药物敏感且他没有其他并发症，但高热持续存在并持续了两个多月。当怀疑患有结核病并尝试进行抗结核治疗以观察其临床反应时，应考虑到上述类似病例的存在。
