Pescetti G, Albera C, Bardessono F
Minerva Med. 1984 Mar 17;75(11):565-8.
Authors analyse the main aspects about the diagnosis of tuberculosis and they emphasize that the bacteriological and immunological tests are very important, beside the clinical, radiologic and hematic picture. As regards bacteriological research, Authors dwell upon the significance of repeated sputum specimens and they reevaluate the use of fluorochrome staining. The immunological "in vivo" tests are represented by tuberculin skin test, that must be correctly made and valued to avoid wrong unresponsiveness, at the other hand also caused by host factors. About immunological "in vitro" tests, Authors report the good prospects opened by the serological diagnosis with an immunoenzymatic method specific for S antigen of M. tuberculosis.
作者分析了结核病诊断的主要方面,并强调除了临床、放射学和血液学表现外,细菌学和免疫学检测非常重要。关于细菌学研究,作者详述了重复痰液标本的意义,并重新评估了荧光染色的应用。免疫学“体内”检测以结核菌素皮肤试验为代表,必须正确进行和评估,以避免错误的无反应性,另一方面这也可能由宿主因素引起。关于免疫学“体外”检测,作者报告了用针对结核分枝杆菌S抗原的免疫酶法进行血清学诊断所展现的良好前景。