A Case of the Active Intestinal Tuberculosis Detected during the Examination of the Right Pleural Effusion
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- YAMANOUCHI Jun
- Department of Internal Medicine, Matsuyama Red Cross Hospital
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- OKADA Takanori
- Department of Internal Medicine, Matsuyama Red Cross Hospital
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- YAMAUCHI Yasuo
- Department of Internal Medicine, Matsuyama Red Cross Hospital
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- YOKOTA Eisuke
- Department of Internal Medicine, Matsuyama Red Cross Hospital
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- MATSUMOTO Isao
- Department of Internal Medicine, Matsuyama Red Cross Hospital
Bibliographic Information
- Other Title
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- 右胸水貯留を端緒に見つかった活動性腸結核の1例
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Abstract
A 76-year-old female was admitted to our hospital because of fever and the right pleural effusion. On the analysis of pleural effusion, the total cell count was 6720/μl with 95% lymphocytes, and ADA was 38.1U/1. The culture of pleural effusion was negative, and the smear and PCR for Mycobacterium were also negative. For examinations, we performed eterography that showed cicatricial strictures of intestine. X-ray examination of the colonated colonoscopoy showed ulcers (circular type), shortening of the colon, Bauhin's valve insufficiency and diverticulum-like deformity. Then, she was diagnosed as intestinal tuberculosis. The smear and PCR of biopsy specimens from the lesion were positive, and antituberculotic therapy was effective. Finally, the culture of pleural effusion for Mycobacterium tuberculosis was positive after 8 weeks. We thought intestinal examnaton may be useful for the diagnosis of tuberculosis, when lymphocyte-rich exudative pleural effusion of unknown etiology is seen.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 72 (8), 849-852, 1998
The Japanese Association for Infectious Diseases
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Keywords
Details 詳細情報について
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- CRID
- 1390001205048315264
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- NII Article ID
- 130004112667
- 10008718742
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- PubMed
- 9780590
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed