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KMID : 0383819660130010089
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Tuberculosis and Respiratory Diseases
1966 Volume.13 No. 1 p.89 ~ p.91
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PNEUMONIA AND INITIAL DIAGNOSIS OF MINIMAL PULMONARY TUBERCULOSIS
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이찬세/Chan Sae Lee
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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 examination 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 examine, when compare with
the fact that there were only 4 cases whom were definitely diagnosed as minimal
pulmonary tuberculosis the frequency rate of pneumonia against initial minimal
pulmonary tuberculosis would be 2 to 1 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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