反復する喀血にて発症した胸部単純Ｘ線無所見の肺結核症の１例

• 関根 聡子

  福島県立医科大学呼吸器科

• 石田 卓

  福島県立医科大学呼吸器科

• 大島 謙吾

  福島県立医科大学呼吸器科

• 大塚 義紀

  福島県立医科大学呼吸器科

• 棟方 充

  福島県立医科大学呼吸器科

書誌事項

タイトル別名

• A CASE OF LUNG TUBERCULOSIS SHOWING NO CHEST RADIOGRAPH FINDINGS WITH RECURRENT HEMOPTYSIS
• ショウレイ ホウコク ハンプク スル カッケツ ニテ ハッショウ シタ キョウブ タンジュン Xセン ムショケン ノ ハイケッカクショウ ノ 1レイ

抄録

A 59-year-old male was referred to our hospital because of hemoptysis. A chest X-ray film and 7 mm-slice CT scan showed no abnormal finding. Bronchoscopy revealed hemorrhage in the right upper bronchus (B¹_a). Bronchial lavage of the lesion was performed, but Mycobacterium tuberculosis was not detected. Because of repeated hemoptysis, he was admitted to our hospital. Right bronchial artery angiograph showed vascular hyperplasia in the peripheral part of the upper lobal branch, and this lesion was suggested to be a bleeding point. There were no vascular malformations. Thin slice (0. 5 mm-thick) CT scan showed mild infiltrative shadow in the right upper lobe. After admission, sputa smear for mycobacteria and PCR for M. tuberculosis became positive, and he was diagnosed as pulmonary tuberculosis. After starting antituberculous chemotherapy, hemoptysis disappeared, and sputa smear and culture for mycobacteria converted to negative. This case suggests that lung tuberculosis should be suspected in patients having hemoptysis, even though they had no chest X-ray film abnormality.

収録刊行物

• 結核

  結核 81 (9), 577-580, 2006

  一般社団法人 日本結核病学会

キーワード

• 喀血
• 胸部X線無所見
• 結核菌PCR
• thin slice CT

詳細情報

• CRID: 1390001204999440768
• NII論文ID: 10018399564
• NII書誌ID: AN00073442
• DOI: 10.11400/kekkaku1923.81.577
• ISSN: 18842410
• ISSN: 00229776
• NDL書誌ID: 8095440
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8095440
• Web Site: https://search.jamas.or.jp/link/ui/2007033284
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可