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タイトル最近経験した非定型抗酸菌症の検討
タイトルヨミサイキン ケイケン シタ ヒテイ ガタ コウサンキンショウ ノ ケントウ
タイトル別表記Clinical Study of Atypical Mycobacteriosis
作成者福田, 正明
松本, 常男
丁子, 卓
内迫, 博路
倉光, 達也
中木, 浩司
田中, 伸幸
野村, 敏
由水, 多津子
畠中, 雅生
本間, 穣
中村, 洋
中西, 敬
作成者ヨミフクダ, マサアキ
マツモト, ツネオ
チョウジ, タカシ
ウチサコ, ヒロシ
クラミツ, タツヤ
ナカキ, ヒロシ
タナカ, ノブユキ
ノムラ, サトシ
ユミズ, タツコ
ハタナカ, マサオ
ホンマ, ユタカ
ナカムラ, ヨウ
ナカニシ, タカシ
作成者別表記Fukuda, Masaaki
Matsumoto, Tsuneo
Choji, Takashi
Uchisako, Hiromichi
Kuramitsu, Tatsuya
Nakaki, Hiroshi
Tanaka, Nobuyuki
Nomura, Satoshi
Yoshimizu, Tatsuko
Hatanaka, Masao
Honma, Yutaka
Nakamura, Hiroshi
Nakanishi, Takashi
作成者所属山口大学医学部
内容記述(抄録等)We compared the clinical features of eight patients with atyical mycobaterium infection treated at our hospital between 1989 and 1991 with those of 18 patients with pulmonary tuberculosis who presented positive culture during the same period. The type of atypical mycobacteriosis was mycobacterium avium complex infection in 7 patients and mycobacterium kansasii infection in one. The patients with atypical mycobacteriosis presented mild subjective symptoms, and almost all had a preexisting lung dissease. There were no definite differences between atypical mycobacteriosis and pulmonary tuberculosis in roentgenographic features, and we considered that the low infectivity of atypical mycobacteriosis was reflected by the roentgenographic findings. Half of the patients with atypical mycobacterium infection showed negative culture during the early period of antituberculosis treatment. On the other hand, in the remaining patients antituberculosis had no effect on culture result, in two culture remained positive. It has been reported that, atypical mycobacteriosis, mycobacterium avium complex infection is often not affected by chemotherapy. In this infection, it is important to distinguish between the primary and secondary types of infection. In the secondary type of infection which develops as sequela to a preexisting lung disease, it is important to treat the underlying disease and to increase the patient's immunoresistance during chemotherapy. We do not consider a negative culture to be a necessary treatment outcome.
本文言語jpn
著者キーワード非定型抗酸菌症
肺結核症
X線CT
化学療法
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
42
1
開始ページ77
終了ページ84
発行日1993-02
著者版/出版社版その他
リポジトリIDB030042000109
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030042000109