Ajao O G, Ajao A, Ladipo J K, al-Saigh A A, Malatani T
College of Medicine, Ibadan University, Nigeria.
East Afr Med J. 1993 Oct;70(10):606-8.
Six cases of "silent" or subclinical abdominal tuberculosis seen in patients who belong to the upper socio-economic class, but with a humble childhood are presented. The patients are usually from the Third World countries and the condition is often missed or mis-diagnosed. This condition is often precipitated by some stressful situation, and the presentation is not typical of the well-known clinical features of abdominal tuberculosis. This is most likely due to the fact that the high standard of living later in life tends to distort the classical clinical features of tuberculous abdomen as seen in the rest of the population. There is usually a dramatic response to anti-tuberculosis therapy.
本文介绍了6例“无症状”或亚临床腹部结核病例，这些病例见于社会经济地位较高但童年生活艰苦的患者。患者通常来自第三世界国家，病情常被漏诊或误诊。这种情况常由某些压力状况引发，其表现并非腹部结核常见的典型临床特征。这很可能是因为后期较高的生活水平往往会使腹部结核的经典临床特征发生改变，而这些特征在其他人群中较为常见。抗结核治疗通常会产生显著疗效。
