ＳＩＡＤＨを契機に発見された軽症肺結核の１例

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タイトル別名
  • A Case of Pulmonary Tuberculosis Initially Presented with Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH).
  • SIADH オ ケイキ ニ ハッケン サレタ ケイショウ ハイケッカク ノ 1レイ

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A 90-year old man was admitted to a hospital because of consciousness loss with hyponatremia. Although his symptom promptly improved with Na supply, his chest X-ray film showed pulmonary infiltration and direct microscopy of sputum smear was positive for acid-fast bacilli, then he was referred our hospital and was admitted. We made a clinical diagnosis of pulmonary tuberculosis with SIADH based on detailed examinations. But he should neither respiratory symptoms nor fever. He was medicated with the standard antituberculosis drugs with fluid restriction, and his tuberculo-sis and hyponatremia were improved gradually.<BR>We should be more careful about pulmonary tuberculosis irrespective of its severity as a cause of SIADH.

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  • 結核

    結核 78 (1), 27-31, 2003

    一般社団法人 日本結核病学会

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