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Editorials |

“Won’t Get Fooled Again” (by Tuberculosis)

David Ashkin, MD; Elena S. Hollender, MD; Masahiro Narita, MD
Author and Funding Information

Drs. Ashkin, Hollender and Narita are from A. G. Holley State Tuberculosis Hospital, the Florida Department of Health. In addition, Drs. Ashkin and Narita are Clinical Assistant Professors, Division of Pulmonary and Critical Care Medicine, University of Miami School of Medicine.

Correspondence to: David Ashkin, MD, A. G. Holley State Hospital, 1199 W. Lantana Rd, Lantana, FL 33462; e-mail: Daskin@aol.com



Chest. 1999;116(4):856-857. doi:10.1378/chest.116.4.856
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Extract

We must be honest. When we first read the article by Pérez-Guzmán et al in this issue of CHEST (see page 961), we all had the same impression: there was nothing “new” in this article. There was nothing fancy or “high tech” that immediately caught our attention. But then we all remembered a recent case of a 75-year-old man from a nursing home who presented with cachexia. Only after an exhaustive medical workup was pulmonary tuberculosis (TB) diagnosed. The patient was presumed to have cancer, and no other differential diagnoses were entertained. Chest roentenograms and CT scan were read as neoplasm, and abdominal CTs were read as metastatic disease.


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