Persistent fever in pulmonary tuberculosis

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7090.1347b (Published 03 May 1997) Cite this as: BMJ 1997;314:1347

Older doctors had more experience of tuberculosis

  1. John Crofton, Retired professor of respiratory diseasesa
  1. a 13 Spylaw Bank Road, Edinburgh EH13 0JW
  2. b Cardiothoracic Centre, Liverpool L14 3PE

    Editor—It is understandable that, with the relatively low level of tuberculosis in Britain, the present generation of consultants is less familiar with the vagaries of the disease than those of us who had experience of it during the massive postwar problem. In the recent Grand Round the patient discussed presented with far advanced disease, clinically and radiologically, as was not uncommon in psychotic patients.1 His weight is not stated, but the doses given were well below those recommended by the World Health Organisation for a man weighing 33-50 kg. It is notable that his fever subsided when he was later given more normal doses, admittedly intravenously. Possibly he had not swallowed …

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