ArticleJournal of general and family medicine2026
Miliary Tuberculosis Diagnosed After Repeated Sputum Smear Examinations Despite Negative Results at a Referral Tuberculosis Center: The Importance of Maintaining Clinical Suspicion.
Article in Journal of general and family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
An 88-year-old woman with back pain was found to have destructive changes at T9/T10 and diffuse micronodular pulmonary opacities suggestive of miliary tuberculosis. At two referring hospitals, six sputum smears and two interferon-gamma release assays were negative. Because the clinical and radiological findings remained highly suggestive of tuberculosis, three additional sputum smears were obtained after admission, leading to rapid microbiological confirmation that avoided the need for invasive diagnostic procedures. This case highlights the importance of maintaining clinical suspicion and repeating sputum examination despite extensive negative evaluation elsewhere.
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