Tuberculosis: resurgent disease, renewed liability.

摘要

In January 2007, Andrew Speaker, a 31-year-old attorney from Atlanta, underwent chest radiography to rule out a rib fracture after afall . Although no rib fracture was found, the radiographs disclosed abnormal densities in one of his lungs. Findings on subsequent chest CT were suggestive of pulmonary tuberculosis (TB), but results of repeated examinations of sputum specimens were negative. In March 2007, Speaker underwent bronchoscopy,after which a definitive diagnosis of active TB was established . Speaker was treated with a standard anti-TB regimen consisting of the drugs isoniazid and rifampin .