oa Central African Journal of Medicine - Acute miliary tuberculosis of the lungs in Africans

Volume 7, Issue 1
  • ISSN : 0008-9176



In 1953 a routine treatment scheme for acute miliary pulmonary tuberculosis was instituted, consisting of three months' daily treatment with I gm. streptomycin, 300 mg. I.N.A.H., 20 gm. P.A.S. At the end of three months P.A.S. was discontinued; streptomycin and I.N.A.H; were given in varying doses to in-patients and, after discharge, to out-patients. Twenty patients with acute miliary pulmonary tuberculosis were treated since 1953, two of them presenting complications on admission. The radiological changes in uncomplicated cases cleared up completely after three months' treatment. The presence of complications delays the clearing of the pulmonary lesions. One case of acute miliary pulmonary tuberculosis with meningitis is reported. The patient made a complete recovery and was fit at the end of five months' treatment. He died seven months later from a recurrence of the meningitis. Nineteen patients have been followed up regularly for periods from 11I to 54 months. All are well and fit.

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