書誌事項
- タイトル別名
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- A CASE OF MYCOBACTERIUM INTRACELLULARE PLEURISY WITHOUT ACTIVE LUNG LESION
- カツドウセイ ハイ ビョウヘン オ トモナワナイ Mycobacterium intracellulare ニ ヨル キョウマクエン ト カンガエラレタ 1レイ
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Pleural effusion without occurrence of active pulmonary lesion due to nontuberculous mycobacteria is extremely rare. We report a case of Mycobacterium intracellulare pleurisy in an 84-year-old woman. The patient was admitted to a nearby hospital because of dyspnea. Massive right pleural effusion was observed on chest roentgenogram. Bacteriological examinations, smear and culture of the sputum or pleural effusion were negative. First we thought pleurisy was caused by M. tuberculosis as pleural effusion showed predominant lymphocyte count and high adenosine deaminase level. However, M. intracellulare was identified by the polymerase chain reaction method from pleural effusion. Based on clinical findings and laboratory data, we suspected pleurisy was due to M. intracellulare infection. Clarithromycin, kanamycin, rifampicin and ethambutol were administered. After four months of treatment pleural effusion disappeared without accompanying the active pulmonary lesion. Therefore, we diagnosed this case as pleurisy without pulmonary lesion due to M. intracellulare.
収録刊行物
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- 結核
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結核 83 (1), 27-31, 2008
一般社団法人 日本結核病学会
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詳細情報 詳細情報について
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- CRID
- 1390001204999811712
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- NII論文ID
- 10025688274
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- NII書誌ID
- AN00073442
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- ISSN
- 18842410
- 00229776
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- NDL書誌ID
- 9346651
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可