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住院患者中未被诊断出的致命性肺结核

Fatal undiagnosed tuberculosis in hospitalized patients.

作者信息

Rosenthal T, Pitlik S, Michaeli D

出版信息

J Infect Dis. 1975 May;131 Suppl:S51-6. doi: 10.1093/infdis/131.supplement.s51.

DOI:10.1093/infdis/131.supplement.s51
PMID:805189
Abstract

Thirty-seven cases of active tuberculosis were misdiagnosed in Chaim Sheba Medical Center in the years 1964-1974. The diagnosis was made only after death. Twenty-one patients were over 60 years of age. Eleven had hematological disorders, and 12 received steroids (sometimes with immunosuppressive or cytotoxic drugs). Misdiagnosis of miliary tuberculosis is a growing problem and demands special attention. The postmortem examination must be systematic and must include bacteriological and histological studies for establishment of the correct diagnosis.

摘要

1964年至1974年间,在海姆·谢巴医疗中心有37例活动性肺结核被误诊。诊断是在患者死后才做出的。21名患者年龄超过60岁。11名患者有血液系统疾病,12名患者接受了类固醇治疗(有时还使用免疫抑制或细胞毒性药物)。粟粒性肺结核的误诊问题日益严重,需要特别关注。尸检必须系统进行,且必须包括细菌学和组织学研究以确立正确诊断。

相似文献

1
Fatal undiagnosed tuberculosis in hospitalized patients.住院患者中未被诊断出的致命性肺结核
J Infect Dis. 1975 May;131 Suppl:S51-6. doi: 10.1093/infdis/131.supplement.s51.
2
Undiagnosed tuberculosis in hospitalized patients.住院患者中的未确诊结核病。
Chest. 1985 Jun;87(6):770-4. doi: 10.1378/chest.87.6.770.
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[Incidence of clinically undiagnosed miliary tuberculosis in autopsy material prior and following introduction of tuberculostatic therapy].
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[Bacteriologic diagnosis of miliary tuberculosis at the present time].[目前粟粒性肺结核的细菌学诊断]
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[Syntropy of miliary tuberculosis and hematologic diseases].[粟粒性肺结核与血液系统疾病的协同作用]
Z Arztl Fortbild (Jena). 1970 Jun 1;64(11):521-4.
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[Tuberculosis cases among a great number of autopsies during the years 1962 to 1971 (author's transl)].
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Fulminant miliary tuberculosis with adult respiratory distress syndrome undiagnosed until autopsy: a report of 2 cases and review of the literature.直至尸检才确诊的暴发性粟粒性肺结核合并成人呼吸窘迫综合征:2例报告及文献复习
J Intensive Care Med. 2005 Nov-Dec;20(6):354-9. doi: 10.1177/0885066605279150.
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[Diagnostic problems in pulmonary miliary tuberculosis, an analysis of 125 cases].[粟粒型肺结核的诊断问题:125例分析]
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Intestinal tuberculosis in a child living in a country with a low incidence of tuberculosis: a case report.一名生活在结核病低发国家儿童的肠结核:病例报告
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[Miliary tuberculosis].
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引用本文的文献

1
Clinically unrecognized miliary tuberculosis: an autopsy study.临床未识别的粟粒性肺结核:一项尸检研究
Ann Saudi Med. 2016 Jan-Feb;36(1):42-50. doi: 10.5144/0256-4947.2016.42.
2
Rapid diagnosis of sputum negative miliary tuberculosis using the flexible fibreoptic bronchoscope.使用可弯曲纤维支气管镜快速诊断痰菌阴性粟粒性肺结核
Thorax. 1986 Sep;41(9):681-4. doi: 10.1136/thx.41.9.681.