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KMID : 0378019660090030037
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New Medical Journal
1966 Volume.9 No. 3 p.37 ~ p.39
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PNEUMONIA AND INITIAL DIAGNOSIS OF MINIMAL PULMONARY TUBERCULOSIS
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이찬세/Lee, Chan Sae
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Abstract
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From October 1964 to September´ 1965 for one-year the author experienced 8 cases of transient pneumonia like X-ray shadows out of 1,000 cases of USA visa medical examination. These cases were at first diagnosed as minimal pulmonary tuberculosis but had to change the diagnosis as pneumonia after one to two weeks or 3 weeks because of complete disappearance of the previous shadows. The exact nature of these shadows could not be definitely determinated. However 6 cases stated that they had a cold for several days and all of those cases showed no tuberculosis bacillie in sputum on examinations of throat swab smear and culture. Cold agglutinin test was done on only 2 cases and it were also negative. The relationship with influenza also was not directly comformable. Although the incidence of these pneumonia was only 0.8 % of total 1,000 examinee, when compare with the fact that there were only 4 cases whom were definitely diagnosed as minimal pulmonary tuber culosis the frequency rate of pneumonia against initial, minimal pulmonary tuberculosis would be 2 to i in this visa medical examination. From this experience the author emphasized that before the initial diagnosis of minimal pulmonary tuberculosis is made in these sort of physical examination, should have another chest X-ray after 2 to 3 weeks of the first chest X-ray to differenciate the transient pneumonic shadow from tuberculosis. The size and the location of the shadows were various and there was no distinguishable point on X-ray picture between these pneumonic cases and.tuberculosis.
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