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DONALD MASSARO, MD; SOL KATZ, MD

Arch Intern Med. 1964;113(4):573-577.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

At best, marked radiographic clearing in pulmonary tuberculosis, even with the most potent antibiotics available, is usually measured in months. The combination of corticosteroids with antituberculosis drugs hastens roentgen clearing especially at the onset of treatment. However, in nonhematogenous pulmonary tuberculosis, even with this combination therapy, several weeks are required before significant roentgen clearing is seen. On the other hand, scattered reports ^1,2 are available indicating more rapid clearing in hematogenous pulmonary tuberculosis when steroids and antimicrobial agents are combined. It is the purpose of this paper to report three cases of hematogenous pulmonary tuberculosis which exhibited marked-to-complete clearing within 14 days on combined therapy. Furthermore, these cases illustrate that the diagnosis of hematogenous pulmonary tuberculosis must not be discarded because of rapid clearing of a diffuse lesion if the patient is receiving steroids.

Report of Cases

CASE 1.

—This 47-year-old Negro male was admitted to the VA Hospital, . . . [Full Text PDF of this Article]

Author Affiliations
WASHINGTON, DC

From the Pulmonary Disease Service, Veterans Administration Hospital, and the Department of Medicine, Georgetown University School of Medicine.

Footnotes
Received for publication April 29, 1963; accepted June 6.

Clinical Investigator, Veterans Administration Hospital, Instructor in Medicine, Georgetown University School of Medicine (this work was done during the tenure of Teaching Traineeship, American Thoracic Society) (Dr. Massaro); Chief, Medical Service, Veterans Administration Hospital, Associate Professor of Medicine, Georgetown University School of Medicine (Dr. Katz).

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