Fanea E, Vaida T, Câmpeanu L
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1982 Apr-Jun;31(2):169-75.
An analysis is made of criteria used for making an etiologic diagnosis of extra-pulmonary tuberculosis over a period of 15 years, and a general correlation is noted between the figures for morbidity and those of bacteriologic confirmations. In the group of patients which has been investigated the diagnosis could be ascertained from urine samples in 44% of the cases, from lymph-nodes and nodules in 15% from pleural fluids in 14%, from purulent collections in 13%, and from the cerebrospinal fluid in 8% of the cases. Human type mycobacteria was evidenced in 90% of the cases. Bovine type of mycobacteria was found in 5% of the cases, with a higher frequency in the cerebrospinal fluid (14%) and in lymph-nodes (11%). In 79% of the cases the antibiogram has evidenced the sensitivity of the isolated strains. Resistance of the strains was noted in 10% of the cases. The strains isolated from lymph-nodes and nodules were resistant in a higher proportion (11%), and those from the pleural fluid in 15%.
对15年间用于肺外结核病病因诊断的标准进行了分析，并注意到发病率数据与细菌学确诊数据之间的总体相关性。在已调查的患者组中，44%的病例可从尿液样本中确诊，15%从淋巴结和结节中确诊，14%从胸腔积液中确诊，13%从脓性分泌物中确诊，8%从脑脊液中确诊。90%的病例中检测出人类型分枝杆菌。5%的病例中发现牛型分枝杆菌，在脑脊液（14%）和淋巴结（11%）中的发生率更高。79%的病例中抗菌谱显示分离菌株具有敏感性。10%的病例中发现菌株耐药。从淋巴结和结节中分离出的菌株耐药比例更高（11%），从胸腔积液中分离出的菌株耐药比例为15%。
