Abstract
Tuberculosis occasionally appears in an obscure form. Six patients are presented in whom the diagnosis was made either at autopsy or after an exploratory laparotomy. The disease had remained undiagnosed because of the paucity of clinical and roentgenologic findings referable to the lungs, an indeterminate tuberculin skin reaction and the misinterpretation of the so-called "inactive fibrotic scars." To improve the diagnostic accuracy, repeated skin testing, cultures of liver and bone marrow biopsies and surgical specimens should be more widely used. A therapeutic trial with antituberculosis drugs is a useful diagnostic test in prolonged unexplained fevers.
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