Clinical Study of Atypical Mycobacteriosis
山口医学 Volume 42 Issue 1
Page 77-84
published_at 1993-02
Title
最近経験した非定型抗酸菌症の検討
Clinical Study of Atypical Mycobacteriosis
Creators
Fukuda Masaaki
Creators
Matsumoto Tsuneo
Creators
Choji Takashi
Creators
Uchisako Hiromichi
Creators
Kuramitsu Tatsuya
Creators
Nakaki Hiroshi
Creators
Nomura Satoshi
Creators
Yoshimizu Tatsuko
Creators
Hatanaka Masao
Creators
Honma Yutaka
Creators
Nakamura Hiroshi
Creators
Nakanishi Takashi
Source Identifiers
Creator Keywords
非定型抗酸菌症
肺結核症
X線CT
化学療法
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.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
1993-02
File Version
Not Applicable (or Unknown)
Access Rights
metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools
医学部