Miliary Tuberculosis not Affecting the Lungs but Complicated by Acute Respiratory Distress Syndrome
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概要
- 論文の詳細を見る
A 61-year-old woman was admitted with fever and headache of 10-day duration. She was found to have anemia, jaundice, and signs of meningitis. The erythrocyte sedimentation rate was increased and the tuberculin skin test was positive. A provisional diagnosis of miliary tuberculosis was made and antituberculous therapy was started, although no miliary lesions were seen on chest radiography. However, her condition rapidly deteriorated with diffuse opacification of both lungs and she died on the 7th hospital day. Postmortem examination revealed miliary tuberculosis in several organs but not in the lungs with acute respiratory distress syndrome accounting for the lung pathology. It should be noted that on rare occasions the lungs may not be involved by miliary tuberculosis.
- 社団法人日本内科学会の論文
- 2005-06-01
著者
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KURODA Naoto
Department of Diagnostic Pathology, Kochi Red Cross Hospital
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Hirouchi Takashi
Departments Of Diagnostic Pathology Kochi Red Cross Hospital
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ENZAN Hideaki
Department of Pathology, Chikamori Hospital
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MIYOSHI Isao
Department of Hematology and Respiratory Medicine, Kochi University School of Medicine
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DAIBATA Masanori
Department of Hematology and Respiratory Medicine, Kochi University School of Medicine
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TAGUCHI Hirokuni
Department of Hematology and Respiratory Medicine, Kochi University School of Medicine
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Kuroda Naoto
Department Of Diagnostic Pathology Kochi Red Cross Hospital
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Enzan Hideaki
Department Of Pathology Chikamori Hospital
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Enzan Hideaki
First Department Of Pathology Kochi Medical School
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Taguchi Hirokuni
Department Of Diagnostic Pathology Kochi Red Cross Hospital
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Daibata Masanori
Department Of Hematology And Respiratory Medicine Kochi Medical School Kochi University
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Daibata Masanori
Department Of Hematology And Respiratory Medicine Kochi Medical School
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Iguchi Mitsuko
Department Of Hematology And Respiratory Medicine Kochi Medical School Kochi University
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Miyoshi Isao
Department Of Hematology And Respiratory Medicine Kochi University School Of Medicine
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Miyoshi Isao
The Third Department Of Internal Medicine Kochi Medical School
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Hamauzu Tadashi
Department Of Pathology And Laboratory Medicine Kochi Red Cross Hospital
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Miyoshi Isao
Third Department Of Internal Medicine Kochi University School Of Medicine
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Taguchi Hirokuni
Department Of Hematology And Respiratory Medicine
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Ensan Hideaki
Department of Pathology and Clinical Laboratory, Tikamori Hospital
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ENZAN Hideaki
Department of Diagnostic Pathology, Chikamori Hospital
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