Katz I, Rosenthal T, Michaeli D
Chest. 1985 Jun;87(6):770-4. doi: 10.1378/chest.87.6.770.
Eighty-two cases of active tuberculosis (TB) were diagnosed only at autopsy in patients hospitalized in the Chaim Sheba Medical Center during a 21-year period (1960 to 1980). Some 75 percent of the patients were over 50 years old and a large number of them suffered from accompanying diseases or drug therapy which suppresses the immune system. Diagnostic measures for the confirmation of tuberculosis (skin tests; cultures of sputum, urine, gastric juice; liver biopsy) were not taken in 75 percent of the cases. In those taken, skin tests were negative in 75 percent of cases, most probably as a sign of anergy. The rest were borderline cases in whom the diagnosis of TB was not accepted affirmatively.
在21年期间（1960年至1980年），在哈伊姆·谢巴医疗中心住院的患者中，有82例活动性结核病仅在尸检时被诊断出来。约75%的患者年龄超过50岁，其中许多人患有伴随疾病或接受过抑制免疫系统的药物治疗。75%的病例未采取用于确诊结核病的诊断措施（皮肤试验；痰、尿、胃液培养；肝活检）。在已采取诊断措施的病例中，75%的皮肤试验呈阴性，很可能是无反应性的表现。其余为临界病例，结核病诊断未得到肯定认可。
