Once the disease becomes active, fatigue, loss of appetite, unexplained weight loss, afternoon fevers, night sweats, back pain, coughing, insomnia, cardiac arrhythmia, and-in serious cases-the coughing up of blood and chest pain may occur.
一旦發病，可能出現全身倦怠、缺乏食慾、體重下降、午後發熱、盜汗、肩痛、咳嗽、失眠、心悸，嚴重時甚至咳血、胸痛。