東アフリカ・ケニア共和国・リフトヴァレー州における疾患の地域的特徴 : 臨床外科材料の病理組織学的検査を中心として
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概要
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Surgical materials of various diseases at Rift Valley Provincial General Hospital, Kenya were examined histopathologically. Surgical samples were collected from patients at the hospital and district hospitals in Rift Valley Province. Chronic liver diseases, especially cirrhosis of the liver and primary liver cancer (PLC) were seen frequently. Almost all cases of cirrhosis showed active inflammatory pattern and these findings have led to the suggestion that there may be high frequency of chronic active hepatitis associated with persistent viral infection. PLC was also particularly high in its incidence. From a widespread geographical or tribal distribution of cirrhosis and PLC, some possible vectors of Hepatitis Virus might be considered to be present. Bantu siderosis is common in East Africa as have been shown in South Africa. Tuberculosis is one of most important diseases in Kenya, because of high prevalence and mortality rate. It seems that B. C. G. vaccination in early childhood can evoke tuberculosis occationally with pulmonary cavity formation in children which was often seen in the clinic. As for thyroid diseases, no Luo people suffered from the diseases was noted in this study. Although the incidence of so-called "tropical diseases" such as Kala azar, Burkitt's lymphoma, Kaposi's sarcoma, Hydatid cyst have been found to be low, this would not necessarily have implied the rare occurrence of these diseases.
- 長崎大学熱帯医学研究所,Institute of Tropical Medicine, Nagasaki Universityの論文
- 1976-07-31
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