Tuberc Respir Dis.  1984 Sep;31(3):108-115. 10.4046/trd.1984.31.3.108.

A Clinical Study of Miliary Tuberculosis in Adults

• KMID: 2528768
• DOI: http://doi.org/10.4046/trd.1984.31.3.108

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%).