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Article
January 27, 1912

THE DISASTROUS RESULTS OF DELAYED DIAGNOSIS IN PULMONARY TUBERCULOSIS

JAMA. 1912;LVIII(4):255-256. doi:10.1001/jama.1912.04260010255010

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Abstract

Nowadays when so much is being done against consumption, it would seem unnecessary either to call attention to the importance of early diagnosis, or to offer further data on the difficulties encountered in the diagnosis of this disease. Yet many cases develop and pass into the moderately advanced stage without being recognized.

'My attention has been directed recently to the large percentage of error, resulting in late diagnoses, in a series of cases of tuberculosis which I have had the opportunity to study. The series comprises forty-five cases, all of which had been under the care of more than one physician before coming to me. At the hands of the first physician in the respective cases, twenty-six were not recognized, or were recognized only when the diagnosis was obvious to the casual observer.

The initial diagnoses were as follows: "Lung affected" non-tuberculous, four; non-tuberculous or no diagnosis, four; "catarrh," three;

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