書誌事項
- タイトル別名
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- A clinical and pathological study of tuberculosis in autopsy cases.
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抄録
Pulmonary lesions of tuberculosis were detected in 16 out of 390 autopsy cases in Saga Medical School from October 1981 to November 1985. Eight of 16 patients demonstrated pathologically or bacteriologically active pulmonary tuberculosis.<BR>The chest roentgenogram of these active tuberculosis patients showed diffuse miliary nodules in 4 patients, infiltration with a cavity in one and fibrotic lesions with or without cavitary lesions in 3 patients. The underlying diseases of these patients were lung cancer (No.6, 7, 8), stomach cancer (No.5), hepatoma (No.2), progressive systemic sclerosis (No.1), polyarteritis (No.4), and malignant lymphoma (No.3). Miliary tuberculosis was found in 4 patients who had received steroid therapy and/or anticancer chemotherapy, and two of them were also complicated diabetes mellitus. On the other hand, a localized pathological or bacteriological recurrence of pulmonary tuberculosis were detected in 4 patients who had been suffered from far advanced cancer.<BR>This study suggests pulmonary tuberculosis in compromised hosts showed two different types, a systemic dissemination or a localized recurrence pathologically or bacteriologically. We emphasize that evaluation of chest roentgenogram should be done carefully and a repeated sputum culture examination is also needed in compromised hosts to find out complicated active pulmonary tuberculosis.
収録刊行物
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- 結核
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結核 62 (8), 419-422, 1987
一般社団法人 日本結核病学会
