谭××女性 29岁,两膝关节游走性疼痛一年余,诊为“风湿性关节炎”,用中西药治疗无效。于1982年4月开始用强的松3个月,膝关节肿痛不但无好转,左侧髋关节也出现疼痛,跛行,逐渐加重卧床不起。同年7月22日开始每天高热、胸闷、呼吸困难。7月27日胸片示双肺满布粟粒状密度增高阴影。诊为急性粟粒型肺结核入院。 Tan XX female 29 years old, two knee pain walking more than a year, diagnosed as “rheumatoid arthritis”, with Western medicine treatment ineffective. In April 1982 began with prednisone for 3 months, knee swelling and pain not only did not improve, the left hip joint pain, limp, and gradually increase the bedridden. July 22 the same year, high fever, chest tightness, difficulty breathing. July 27 chest X-ray showed lung covered with miliary density increased shadow. Diagnosis of acute miliary tuberculosis admission.