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A case of miliary tuberculosis with prolonged high fever for more than 2 months under antituberculous therapy
Authors:N Iijima  K Takada  Y Ina  S Itou  A Miyachi  H Kakihara  M Noda  H Hashiba  K Arakawa  T Sato
Institution:2nd Department of Internal Medicine, Nagoya City University Medical School, Japan.
Abstract:A 28 year-old male was admitted to our hospital with persistent cough and high fever. He was diagnosed to have miliary tuberculosis by the transbronchial lung biopsy specimen and tuberculous choroidal lesions in the ocular fundus. Antituberculosis therapy was immediately started. In spite of the fact that the bacilli were sensitive to the antituberculosis drugs used and he had no other complications, high fever persisted and lasted for more than 2 months. When tuberculosis is suspected, and antituberculosis treatment is tried to observe its clinical response, the presence of similar cases mentioned above should be taken into consideration.
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