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Chemoprophylaxis of Tuberculosis

Stephen S. Lefrak, MD; Richard Byrd, MC; Robert M. Senior, MD; Louis V. Avioli, MD
Arch Intern Med. 1975;135(4):606-611. doi:10.1001/archinte.1975.00330040118020.
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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


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