A case of hilar lymph nodes tuberculosis (author's transl)

Abstract

A Case of 26-year-old female with primary hilar lymph nodes tuberculosis was reported. She had positive tuberculin reaction after BCG vaccination in early school life. The patient had experienced vague anterior chest pain and fever for three weeks prior to admission. She was admitted to this hospital in May, 1978. The chest X-ray revealed a finding of bilateral hilar lymph nodes swelling. Pathology of the biopsied lymph nodes revealed a young tubercle surrounded by prominent epithelioid cells which was consistent with primary tuberculosis, but calcification was not found. The patient was treated with SM, PAS, and INH, and rapidly recovered soon.It seems that hilar lymph nodes tuberculosis as primary infection with transient positive tuberculin reaction after BCG vaccination is not a rare clinical type of the tuberculosis in recent years.It is perhaps due to the recent reduction of the prevalence of tuberculosis as the results of the improvement of public health and the development of therapy and prophylaxis of the disease in our country.