手術しえたＭ． ｓｃｒｏｆｕｌａｃｅｕｍ肺感染症の１例 [in Japanese] A REPORT OF AN OPERATED CASE WITH PULMONARY INFECTION DUE TOM. SCROFULACEUM [in Japanese]
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A rare case with pulmonary infection due to M.scrofulaceum was reported.<BR>The patient was 43 years old male with pneumoconiosis as underlying disease, and it was considered that this pneumoconiosis was concerned with the pulmonary infection due to M. scrofulaceum.<BR>The M. scrofulaceum isolated from sputum of this patient was sensitive to streptomycin (SM) and ethambutol (EB), but resistant to isoniazide (INH) and rifampicin (RFP).<BR>Although combination therapy with SM, EB, INH and RFP was applied for over 5 months, improvement of infiltrative shadow with a cavity was not clearly observed. Then, a right upper lobectomy was performed after chemotherapy because of poor response against the administra tion of antituberculosis agents.<BR>The existence of acid-fast bacilli in a lesion was recognized with Ziel-Neelsen stain of the lung specimen obtained by operation, although no growth was observed on culture.
Kekkaku(Tuberculosis) 58(10), 521-527, 1983
JAPANESE SOCIETY FOR TUBERCULOSIS