Affordable Access

Publisher Website

Some problems in the diagnosis and treatment of pulmonary tuberculosis in childhood

The Journal of Pediatrics
Publication Date
DOI: 10.1016/s0022-3476(53)80308-2
  • Medicine


Summary 1. Bronchial involvement by tuberculoushilar nodes is a complication of primary tuberculosis which often leads to bronchiectasis later in life. Such late complication can be prevented by prompt bronchoscopic removal of the obstructing granuloma and the use of antibiotics. Two cases thus treated with success are reported. 2. Chronic nontuberculous infections of the lungs may simulate tuberculosis in symptomatology and roentgenogram appearance. A thorough history is important in the differential diagnosis. 3. Nonpathogenic acid-fast bacilli may be ingested with food and drink; therefore, finding of acid-fast bacilli in the gastric content does not necessarily mean tubercle bacilli. 4. With few exeptions, a persistentnegative tuberculin reaction is a strong evidence against active tuberculosis. Mere isolation of acid-fast bacilli from the gastric content of a tuberculinnegative child does not prove tuberculosis without a pathogenicity test of the organism. To avoid the risk of exposing a child to tuberculosis, admission of such cases to a tuberculosis hospital should be discouraged. 5. Not all acid-fast bacilli found inthe sputum are from the lung. A case is reported in which the nasal discharge was found to be the source of the acid-fast bacilli in the sputum.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Some problems in the diagnosis and treatment of pu...

on The Journal of Pediatrics December 1953

[Some problems in diagnosis and treatment of pulmo...

on Zhonghua nei ke za zhi April 1983

The problems of diagnosis and treatment of childho...

on South African medical journal... Nov 17, 1982

[Some problems in diagnosis and treatment of spina...

on Zhonghua jie he he hu xi za zh... February 2008
More articles like this..