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April 1975

Chemoprophylaxis of Tuberculosis

Author Affiliations


From the Department of Medicine, the Jewish Hospital of St. Louis, and Washington University School of Medicine, St. Louis.

Arch Intern Med. 1975;135(4):606-611. doi:10.1001/archinte.1975.00330040118020

Myron Jacobs, MD, Fellow, Pulmonary Division, Department of Medicine, the Jewish Hospital of St. Louis, and Instructor in Medicine, Washington University School of Medicine: A 29-year-old black man was admitted to Jewish Hospital for evaluation of a cavitary pulmonary infiltrate. His present illness began at least five months prior to admission when he had fever associated with right, lower-lateral pleuritic chest pain. He was examined by a physician, given penicillin and aspirin, and seemed to improve. One month later, he had a similar episode and was seen at the Jewish Hospital emergency room where a chest x-ray film showed right hilar adenopathy and a mass in the superior segment of the right lung's lower lobe that proved to be cavitary on laminography. The patient was unavailable for follow-up until the day prior to admission when he returned to the emergency room because of epitaxis. A chest x-ray film was unchanged