Carli P
Hôpitaux des Armées, Hôpital d'Instruction des Armées, Sainte-Anne, Toulon.
Med Trop (Mars). 1989 Apr-Jun;49(2):193-6.
Three cases of tuberculosis of serous membranes (1 pleuritis, 1 pericarditis, 1 meningitis) are reported in the absence of detected superinfection, all of them characterized by a purulent effusion. Even in tuberculosis endemic zones, the purulent character of the puncture liquid of tuberculotic serositis appears to be rare or exceptional. Tuberculosis has to be systematically considered among the causes of pleuritis, pericarditis or purulent meningitis when any current investigations are negative.
报告了3例浆膜结核(1例胸膜炎、1例心包炎、1例脑膜炎),未检测到合并感染,所有病例均以脓性渗出液为特征。即使在结核病流行地区,结核性浆膜炎穿刺液的脓性特征似乎也很罕见或不常见。当任何常规检查均为阴性时,在胸膜炎、心包炎或脓性脑膜炎的病因中必须系统地考虑结核病。