Aderele W I
Trop Geogr Med. 1979 Mar;31(1):41-51.
The salient features of pulmonary tuberculosis in 263 Nigerian children are presented. Attention is drawn to the little known diagnostic presence of supraclavicular lymphadenopathy which is often accompanied by pulmonary tuberculosis. In the childhood population where early diagnosis of tuberculosis is sometimes difficult and depends mostly on a high index of suspicion, the finding of such a sign is highly significant and useful. Even though phlyctenular kerato-conjunctivitis has been reported to be caused more often by bacterial antigens other than tuberculosis, the experience in this part of the world is that its presence is still almost pathognomonic of tuberculosis. Outpatient ambulatory management though successful was associated with a high default rate. Suggestions are made on ways to reduce this rate.
本文介绍了263名尼日利亚儿童肺结核的显著特征。文中提请注意锁骨上淋巴结肿大这一鲜为人知的诊断特征，它常伴有肺结核。在儿童群体中，肺结核的早期诊断有时很困难，且大多依赖高度的怀疑指数，发现这样的体征具有高度的重要性和实用性。尽管泡性角结膜炎据报道更多是由结核以外的细菌抗原引起，但在世界这一地区的经验是，它的出现仍几乎是肺结核的特征性表现。门诊非住院治疗虽取得成功，但违约率很高。文中就降低这一比率的方法提出了建议。
