Ninety-six lethal cases of tuberculosis overlooked in general hospitals of Minsk in 1983-1989 have been analyzed clinicopathologically. The examination in general hospitals provided intravital diagnosis of tuberculosis in 18% of the cases only. The largest proportion of the overlooked cases related to disseminated tuberculosis (69.0 +/- 4.7%). Extrapulmonary tuberculosis and caseous pneumonia are also often missed in general institutions. Low detection of tuberculosis is attributed to incompetence of the internists in reading roentgenograms, inadequate phthisiatric alarm, incomplete x-ray and bacteriological examinations, especially of patients at risk for tuberculosis.
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