Abstract:ObjectiveTo discuss the diagnosis and treatment methods in senior patients with atypical tuberculosis.MethodsThe retrospective analysis of 76 senior patients with atypical tuberculosis in hospital from March,2008 to December 2012.Results(1)At the first visit,27 cases were diagnosed as atypical tuberculosis(35.5%);28 cases were suspected as atypical tuberculosis(36.8%);21 patients were misdiagnosed as other diseases in other hospitals(27.6%).Among the suspected and misdiagnosed cases,9 of them were finally diagnosed as atypical tuberculosis by medical imaging examination,33 by fiberoptic bronchoscopy pathological examination,3 by surgical pathological examination,and 4 by effective anti\|tuberculosis treatment.(2)The initial treatment was the 2RHEZ/4RH schema,while the continued treatment was the 2SRHEZ/6RH schema.The time of follow\|up visits ranged from 1 year to 4 years,with an average of 2.5 years.44 of the 76 patients were cured(57.9%),29 reported improvement (38.1%),and 3 died(3.9%).ConclusionThe clinical manifestations of atypical tuberculosis are not typical,the imaging features are complicated,and thus misdiagnosis and missed diagnosis occur easily.The clinicians should try their best to improve level of diagnosis and treatment for atypical tuberculosis and avoid misdiagnosis and missed diagnosis.