Rosenthal T, Pitlik S, Michaeli D
J Infect Dis. 1975 May;131 Suppl:S51-6. doi: 10.1093/infdis/131.supplement.s51.
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.
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。