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- 横村 光司
- 磐田市立総合病院呼吸器科
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- 安田 和雅
- 磐田市立総合病院呼吸器科
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- 佐藤 雅樹
- 磐田市立総合病院呼吸器科
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- 千田 金吾
- 浜松医科大学第2内科
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- NAKAMURA Hirotoshi
- The Second Division, Department of Internal Medicne, Hamamatsu University School of Medicine
書誌事項
- タイトル別名
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- A Case of Solitary Pulmonary Nodule Caused by <I>Mycobacterium avium</I>
- A Case of Solitary Pulmonary Nodule Caused by Mycobacterium avium
この論文をさがす
抄録
A 56-year-old male without respiratory symptoms, past history nor familial history, was admitted to our hospital because of pulmonary solitary nodule on the chest radiograph. Computed tomograph showed a smooth surface nodule in the left lower lobe (segment 8). Bronchofiberscopy could not give any specific histological findings nor bacteriological findings, therefore the patient underwent partial pulmonary resection by videoassisted thoracoscopic surgery. Pathology of the resected specimen revealed epithelioid cell granuloma with giant cells but not any acid-fast bacilli. He was treated with rifampicin and isoniazid for “tuberculoma”. After three weeks, thirty colonies grew on an Ogawa's egg medium, which were identified as Mycobacterium avium by PCR.<BR>There are few reports about the solitary pulmonary nodule due to M. avium-intracellurale complex infection, however, it is supposed that there are many “tuberculoma's” without bacteriological differentiation between tuberculosis and nontuberculous mycobacterial infection.<BR>It is difficult to diagnose a solitary pulmonary nodule caused by nontuberculous mycobacterial infection with bronchofiberscopy, and the location of the lesion is usually subpleural, therefore it is thought that videoassisted thoracoscopic surgery is valied for the diagnosis of solitary pulmonary nodule due to nontuberculous mycobacterium.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 72 (4), 410-413, 1998
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390282680023941632
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- NII論文ID
- 130004330667
- 10008717863
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- NII書誌ID
- AN00047715
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- COI
- 1:STN:280:DyaK1c3osVGruw%3D%3D
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- ISSN
- 1884569X
- 03875911
- http://id.crossref.org/issn/03875911
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- PubMed
- 9621569
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可