縦隔リンパ節結核と胸囲結核とを合併した1手術例 A resected case of mediastinal tuberculous lymphadenitis with pericostal tuberculosis.

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A case of 22-year-old female with mediastinal tuberculous lymphadenitis and pericostal tuberculosis was reported.Her complaint was right chest pain and subcutaneous mass on the right chest wall.Chest contrast CT showed right paratracheal lymph node swelling with central low density area and surrounding rim enhancement, which has been reported as typical characteristics of mediastinal tuberculous lymphadenit is.Pigeon-egg sized subcutaneous mass with fluctuation was palpable on the right sternal border and the smear of its content showed acid-fast bacilli.In spite of two months therapy with antituberculous drugs, both masses were unchanged in size.The lesions resected surgically, were both encapsulated abscesses containing yellowish pus, and microscopic examination of these specimen disclosed the finding of tuberculosis.Mycobacterium tuberculosis was cultured from contents of both masses.After nine months of anti-tuberculous therapy, no sign of recurrence is observed until now.Both masses were discontinuous and the possibility of lymphangitic spread of organism was speculated as its etiology.

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  • 結核

    結核 65(4), 293-297, 1990

    一般社団法人 日本結核病学会

被引用文献:  11件中 1-11件 を表示

各種コード

  • NII論文ID(NAID)
    130001410968
  • 本文言語コード
    JPN
  • 資料種別
    雑誌論文
  • ISSN
    0022-9776
  • データ提供元
    CJP引用  J-STAGE 
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