ステロイド減量失敗により再燃, 死亡した急性結核性肺炎, 粟粒結核症の1例 AN AUTOPSY CASE OF ACUTE TUBERCULOUS PNEUMONIA AND MILIARY TUBERCULOSIS DETERIOLATED BY RAPID TAPERING OF CORTICOSTEROID

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An autopsy case of acute tuberculous pneumonia and miliary tuberculosis in a 79-year-old man, was reported.<BR>He was admitted to the hospital because of high fever and dyspnea. Chest X-ray films showed diffuse confluent air-space opacities throughout both lung fields with small nodular and ground-glass lesions.<BR>Transbronchial lung biopsy of the right lower lobe was performed eight days after admission. The biopsy specimen was caseous granuloma with infiltrations of epithelioid cells and giant cells. Therefore, intensive anti-tuberculous chemotherapy with INH, RFP and SM, and tapering of predonisolone was started. Rapid tapering of corticosteroid gave rise to flare up of acute tuber culous pneumonia, and resulted in respiratory failure. The findings at autopsy were widely disseminated miliary tuberculosis, acute tuberculous pneumonia, interstitial pneumonitis, and multiple gastric ulcers.<BR>The use of corticosteroid in tuberculosis was discussed.

収録刊行物

  • 結核

    結核 54(6), 351-355, 1979

    一般社団法人 日本結核病学会

各種コード

  • NII論文ID(NAID)
    130001416846
  • NII書誌ID(NCID)
    AN00073442
  • 本文言語コード
    UNK
  • ISSN
    0022-9776
  • NDL 記事登録ID
    2088403
  • NDL 刊行物分類
    SC411;SC321
  • NDL 雑誌分類
    ZS21(科学技術--医学--内科学)
  • NDL 請求記号
    Z19-133
  • データ提供元
    NDL  J-STAGE 
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