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(Chest. 1972;61:447-451.)
© 1972 American College of Chest Physicians

Undiagnosed Tuberculosis in a General Hospital

Jean K. Ashba M.D.1 and John M. Boyce M.D.2

1 Assistant Physician, Department of Medicine; Associate in Medical Research and Associate Director of the Division of Pulmonary Diseases, Rhode Island Hospital
2 Division of Pulmonary Diseases, Department of Medicine, Rhode Island Hospital, Providence

Tuberculosis occasionally appears in an obscure form. Six patients are presented in whom the diagnosis was made either at autopsy or after an exploratory laparotomy. The disease had remained undiagnosed because of the paucity of clinical and roentgenologic findings referable to the lungs, an indeterminate tuberculin skin reaction and the misinterpretation of the so-called "inactive fibrotic scars." To improve the diagnostic accuracy, repeated skin testing, cultures of liver and bone marrow biopsies and surgical specimens should be more widely used. A therapeutic trial with antituberculosis drugs is a useful diagnostic test in prolonged unexplained fevers.






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Copyright © 1972 by the American College of Chest Physicians.