A Clinical Study of Miliary Tuberculosis in Adults

Bae, Duck Soo; Kim, Jong Kook; Kim, Jung Am; Jeon, Ki Hwan; Lee, Jue Hong; Shine, Woo Won; Park, Soon Kew; Shin, Young Kee

doi:1984.31.3.108

Tuberc Respir Dis > Volume 31(3); 1984 > Article

Original Article

Tuberculosis and Respiratory Diseases 1984;31(3):108-115.
DOI: https://doi.org/10.4046/trd.1984.31.3.108 Published online September 1, 1984.

A Clinical Study of Miliary Tuberculosis in Adults

Duck Soo Bae¹, Jong Kook Kim¹, Jung Am Kim¹, Ki Hwan Jeon¹, Jue Hong Lee², Woo Won Shine², Soon Kew Park², Young Kee Shin²

¹Department of Internal Medicine, Busan Medical Center
²Department of Internal Medicine, Collegeof Medicine, Pusan National University

성인 속립성 결핵의 임상적 고찰

배덕수¹, 김종국¹, 김정암¹, 전기환¹, 이주홍², 신우원², 박순규², 신영기²

Abstract

A retrospective clinical study was done on 85 cases of miliary tuberculosis admitted to Pusan National University Hospital and Pusan Medical Center from ]an. 1978 to Dec. 1983. The following results were obtained. 1) The patients were most common in the age group between 20 and 29 and the ratio of male to female was 1. 5: 1. 2) The major symptom s & signs on admission were fever w ith chillness(58. 8% ) , dyspnea (45.9 %) , tachycardia(42.4% ) and coughing(40.0 %) in order. 3) The possible predisposing factors were steroid therapY(5.9 % ), pregnancy (4.7% ) , alcoh olics(3.5% ), diabetes mellitus(2.4% ), and malignancy( 1.2% ) in order. 4) The chest X-ray findings on admission were miliary shadow only(6 1. 2% ), and in addition pneumonic infiltration(12. 9% ), pleurisy (10.5 %) and pleural thickening with adhesion (4.7% ) were observed. 5) Sputum smear for tubercle bacilli was. positive in 30.3 %, and sputum culture was positive in 42.9%. 6) The extrapulmonary tuberculosis associated with miliary tuberculosis were tuberculous meningitis (22.4 %), pleurisy (11. 8%), tuberculous cervical adenitis(8.2%) in order. 7) Among the important laboratory findings on admission, anemia less than 12 gm % of hemoglobin was 59 cases(69. 5% ), leukopenia less than 4, 000/mm 3 3 cases(3. 5%) , leukocytosis more than 10, 000/mm³ 33 cases(38.9 %) , abnormal SGOT 22 cases(25.9 %), SGPT 11 cases (12.9 % ), hyponatremia 5 cases(5.9%).

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