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Post-primary tuberculous hilar lymph node perforation in adults is not rare. In 1,228 bronchoscoped tuberculous adults it was seen 38 times and in 81 cases the findings were regarded as residues of such perforation. The various stages of this process are described. Secondary pulmonary phthisis can apparently develop because of hilar node bronchial perforation. Early recognition of this entire process is important, as the prognosis for the changes in the lungs and bronchi is definitely favorable, if no active treatment is given. Streptomycin-PAS as well as isonicotinic acid hydrazide are beneficial.
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