発見の遅れにより多発性脳結核腫および脊椎カリエスの増悪をみた粟粒結核の1症例 [in Japanese] A CASE OF MILIARY TUBERCULOSIS WITH MULTIPLE CEREBRAL TUBERCULOMA AND SPINAL TUBERCULOSIS OWING TO TOTAL DELAY [in Japanese]
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We reported a case of miliary tuberculosis with multiple cerebral tuberculoma and spinal tuberculosis. The case was a 37 year old man. In the last sixteen months to the first visit to a hospital, he has been suffering from low grade fever, cough, and back pain, but he beared his symptoms without any therapy. At a hospital he first visited, he was told that he might have a malignant disease, which prevented him to visit the hospital because of a fear for his disease. Six months later, he was admitted to other hospital because of severe back pain. At last, he was diagnosed as tuberculosis and referred to our hospital. By the examinations on admission he was diagnosed as multiple cereberal tuberculoma and spinal tuberculosis, and anti-tuberculous therapy was started. It is thought that his severe disease status on admission is caused by the total delay, namely the delay in visiting a doctor and the doctor's delay in making diagnosis.
Kekkaku(Tuberculosis) 73(8), 519-523, 1998-08-15
JAPANESE SOCIETY FOR TUBERCULOSIS