Tuberculin Negative?

Abstract
Unexpected numbers of tuberculous patients with negative tuberculin reactions were described by Holden et al.1 in a recent issue of the Journal. Tested with several different PPD products, each used at the 5-TU (intermediate) dosage level, 17 per cent of some 115 patients with bacteriologically confirmed diagnoses of pulmonary tuberculosis failed to respond with a positive reaction to a product containing the anti-adsorbent material Tween-80, and an alarming 49 per cent to a reconstituted tableted product. Some, but by no means all, of these negative reactions could be accounted for by "extenuating clinical circumstances, such as old age, debility . . .

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