Patri B, Vilde F, Bard A, Dubrisay J, Ameille J, Longchal J
Ann Med Interne (Paris). 1979;130(4):243-5.
The authors report three cases of tuberculosis affecting the liver and hematopoietic system. The difficulty in diagnosing the chronic progressive forms of the disease and the severity of the acute forms is stressed. Liver biopsy is considered to be the most effective examination for confirming the nature of the disease. Acute and chronic forms can also be distinguished histologically, as the former produce nectotic lesions rich in tubercle bacillus but with only slight surrounding cellular reaction, while the latter lesions are productive and are rich in epithelioid histocytic cells.
作者报告了三例累及肝脏和造血系统的结核病病例。强调了诊断该疾病慢性进行性形式的困难以及急性形式的严重性。肝活检被认为是确诊疾病性质最有效的检查方法。急性和慢性形式在组织学上也可区分，因为前者产生富含结核杆菌的坏死性病变，但周围细胞反应轻微，而后者病变具有增殖性，富含上皮样组织细胞。
