A Pitfall of Treatment with Tosufloxacin for Pneumonia That Might Be Lung Tuberculosis
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- Fujishima Nobuhiro
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan Internal Medicine, Matsunaga Cardiovascular Hospital, Japan
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- Komiya Kosaku
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Matsunaga Naoko
- Internal Medicine, Matsunaga Cardiovascular Hospital, Japan
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- Usagawa Yuko
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Yamasue Mari
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Hashinaga Kazuhiko
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Umeki Kenji
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Nureki Shin-ichi
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Ando Masaru
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
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- Matsunaga Terufumi
- Internal Medicine, Matsunaga Cardiovascular Hospital, Japan
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- Kadota Jun-ichi
- Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan
抄録
<p>Tosufloxacin, which is not used to treat Mycobacterium tuberculosis, is a fluoroquinolone recommended for pneumonia when the possibility of tuberculosis infection cannot be excluded. In the present case, symptoms and chest infiltrative shadow initially improved by tosufloxacin. Therefore, we regarded this patient as having general pneumonia and did not perform follow-up chest X-ray until the infiltrates had completely disappeared. However, a few weeks later, the symptoms and the infiltrates had worsened, so M. tuberculosis was isolated from the patient's sputum. This case suggests that patients suspected of having pulmonary tuberculosis should be monitored carefully, even if antibiotics without antituberculous activity are initially effective. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 58 (2), 263-266, 2019-01-15
一般社団法人 日本内科学会