書誌事項
- タイトル別名
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- Difference of clinical features between bacilli positive tuberculosis patients diagnosed at the outpatients dept. (OPD) and diagnosed after admission.
- 外来診断可能例と入院後発見例の差異
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抄録
In order to determine the clinical features of patients whose tubercle bacilli were found after admission, the characteristics of23cases (17 males, 6 females) diagnosed after admission (Group I) were compared with16other cases (12 males, 4 females) diagnosed before admission (Group II).The patients in Group I were more elderly and had severer underlying diseases than those in Group II.In addition, the majority of the patients of Group I showed manifestations of respiratory infections similar to bacterial pneumonia. Therefore, 14cases (61%) in Group I were diagnosed as bacterial pneumonia on admission. Radiological findings showed that less than half of Group I showed typical X-ray findings of tuberculosis such as locasion of lesions in the apex and upper lung field, cavity formation, and mixture of or new and old infiltrative lesions.Also on the PPD skin test, 7cases (30%) of Group I were negative.Due to the above results, in many cases it took more than 10days from admission to make a final diagnosis as tuberculosis.There were several differences in findings between two groups, but there was no definite signs to diagnose all patients at the OPD.It is therefore considered to be important to keep in mind the following to prevent admission of open tuberculosis patients into a general hospital:<BR>(1) Admission of patients suspected to have open tuberculosis at the OPD should be postponed until their smears are proven negative.<BR>(2) Sputum examinations for AFB always should be carried out in patients with respiratory symptoms.
収録刊行物
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- 結核
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結核 65 (5), 333-339, 1990
一般社団法人 日本結核病学会