一般病院入院後に肺結核症と診断された症例の検討

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  • A study on cases diagnosed as pulmonary tuberculosis after admission to the general hospital lacking tuberculosis ward.

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We analyzed retrospectively the clinical data of 12 patients diagnosed as pulmonary tuberculosis after admission to the National Himeji Hospital during the past 5 years. Ten out of 12 patients were male and were of elder age-groups (mean age: 65.5 years, range: 32-76 years). Seven patients at first visited the department of respiratory medicine, and the remaining three patients were admitted without consulting the department of respiratory medicine before admission.<BR>Only patient had a history of pulmonary tuberculosis. Two patients were suspected of pulmonary tuberculosis on admission. Tubercle bacilli were positive sputum smear in 6 patients, sputum culture in 1, smear of bronchial washing in 4, and smear of BALF in 1. It took 12.7 days on the average from the admission to make a final diagnosis as pulmonary tuberculosis patients into a general hospital lacking TB ward were as follows:<BR>(1) As pulmonary TB was not suspected, Chest X-ray and sputum examination were not performed.<BR>(2) The admission was done due to another disease and respiratory symptoms were scarce.<BR>(3) Tuberculous lesions on chest X-ray were harbored by pleural effusions and diffuse shadows.<BR>(4) Though pulmonary tuberculosis was suspected, a patient was admitted because of general prostration as sputum smear was negative. After admission, however, repeated sputum culture revealed positive results.<BR>(5) Pulmonary tuberculosis developed after the admission.

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  • 結核

    結核 71 (1), 1-5, 1996

    一般社団法人 日本結核病学会

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