非定型抗酸菌症患者の背景因子に関する臨床的検討  発症素因と環境について

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タイトル別名
  • A clinical study on the background of patients with nontuberculous pulmonary mycobacteriosis. Predisposing Factor and Environment.
  • Predisposing Factor and Environment
  • 発症素因と環境について

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抄録

We studied the background of 78 patients with pulmonary nontuberculous mycobacteriosis from 1992 to 1996, and 56 patients (71.8%) were diagnosed as primary infection type and 22 patients (28.2%) as secondary infection type. The former consisted of 17 males and 39 females (mean age ±SD ; 67.4±12.9 years), and the latter consisted of 13 males and 9 females (mean age ±SD ; 74.0±7.5 years). Out of all 83 strains, 67 strains (80.7%) were M. avium complex, and out of 36 strains identified either M. avium or M.intracellulare, 34 strains (94.4%) were M. intracellulare and 2 strains (5.6%) were M. avium. Many patients lived in farming areas along the coast, and 35 patients (62.5%) of primary infection type and 11 patients (50%) of secondary infection type were or used to be farmers. Nine patients (16.1%) of primary infection type and 6 patients (27, 3%) of secondary infection type had history of gastroduodenal ulcer, while only 3 of all 78 patients had sinusitis. There was a married couple who lived in a same house and 2 sisters who lived apart who were proved to have primary infection type but cross infection was not demonstrated in either case.<BR>The development of this disease seems to be related to a genetic susceptibility and environmental factors.

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  • 結核

    結核 73 (4), 287-293, 1998

    一般社団法人 日本結核病学会

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