A Human T-cell Lymphotropic Virus Type-1 (HTLV-1) Carrier with Acutely Progressive Interstitial Pneumonia
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概要
- 論文の詳細を見る
A human T-cell lymphotropic virus type-1 (HTLV-1) carrier who showed acutely progressive interstitial pneumonia is reported. The patient, a 77-year-old Japanese man, was admitted to our hospital because of fever, dyspnea, and rapidly progressive bilateral reticulonodular shadows on chest X-ray films. Serum HTLV-1 antibody was positive. Bronchoalveolar lavage fluid (BALF) showed that the total cell count was increased with 70% lymphocytes, and that the CD 4/8 ratio was decreased to 0.73. Pathological examination by transbronchial lung biopsy (TBLB) showed active interstitial pneumonia. No abnormal findings were detected by a neurological examination, and no atypical T lymphocytic cells were found in the TBLB specimen or on repeated hemograms. Prednisolone (60mg/day) was given p. o. and interstitial pneumonia improved within 10 days. However, moderation of the intensive steroid therapy due to active pulmonary tuberculosis led to recurrence of the severe interstitial pneumonia, and this resulted in the patient's death.
- 北里大学の論文
- 1995-04-30
著者
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Tomita Tomoyuki
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine
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Tomita T
Department Of Medicine Graduate School Of Medical Science Kitasato University
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Tomita Tomoyuki
北里大学 大学院 内科
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ABE Tadashi
Department of Surgery Iwate Prefectural Kuji Hospital
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SATO Tetsuya
Department of Pediatrics, Kochi Medical School, Kochi University
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KUBOTA Masaru
Department of Pediatrics, Kobe City General Hospital
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Kobayashi Hirosuke
Department of Medicine, Kitasato University
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Sato Tetsuya
Department Of Cardiology Okayama Red Cross General Hospital
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Tomita Tomoyuki
Department Of Internal Medicine And Critical Care And Emergency Medicine Kitasato University School
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TANAKA Naohiko
Department of Medicine, School of Medicine, Kitasato University
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OGURA Tateo
Department of Medicine, School of Medicine, Kitasato University
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Takada Nobukazu
Department of Medicine, Kitasato University School of Medicine
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Ogura Tateo
Department Of Medicine School Of Medicine Kitasato University
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Abe T
Kitasato Univ.
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Abe Tadashi
Department Of Biochemistry Okayama University Medical School
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Tanaka Naohiko
Department Of Medicine School Of Medicine Kitasato University
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Tanaka N
Nittobo Acoustic Engineering Co. Ltd. Tokyo Jpn
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Tanaka Naohiko
Department Of Electrical Engineering And Computer Science Graduate School Of Engineering Shibaura In
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Tokunaga Naoyuki
Division Of Surgical Oncology Department Of Surgery Okayama University Graduate School Of Medicine A
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Takada Nobukazu
Department Of Medicine Kitasato University School Of Medicine
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Kobayashi Hirosuke
Department Of Respiratory Medicine Kitasato University School Of Medicine
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Kobayashi Hirosuke
Department Of Clinical Engineering Kitasato University Of Allied Health Sciences
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Sato Tetsuya
Department Of Agricultural Chemistry Obihiro University Of Agriculture And Veterinary Medicine
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Kubota Masaru
Department Of Medicine Kitasato University School Of Medicine
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