Diagnosis and Management of Endobronchial Tuberculosis.

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概要

• 論文の詳細を見る

• We examined the records of sixty-one patients (17 males and 44 females) with endobronchial tuberculosis (EBTB). Smear tests of acid-fast bacilli were positive in 42 cases ad cultures of tubercle bacilli (TB) were positive in 57. The main findings of chest roentgenogram on admission were as follows : no abnormal findings in 8, atelectasis in 30, infiltration in 25, and cavitary lesions in 6. The localization and cross-sectional extension of lesions confirmed bronchoscopically were as follows : trachea in 15, with 3 circular lesions (CLs). Right (R-) main bronchus in 19 with 11 CLs, left (L-) main bronchus in 18 with 11 of CLs, R-truncus intermedius in 14 with 6 of CLs, R-upper lolar bronchus (UB) in 17 with 12 CLs, R-middle lobar bronchus in 14 with 11 of CLs, R-lower lobar bronchus (LB) in 6 with 2 CLs, L-UB in 10 with 7 CLs and L-LB in 3 with 2 CLs. All cases were treated by combination chemotherapy with isoniazid, refampicin, streptomycin and/or ethambutol and the rate of negative conversion of TB was good, but most of circular lesions resulted in severe bronchial stenosis or complete obstruction during and after chemotherapy, and no improvement was seen in any of the atelectasis cases at the cessation of chemotherapy. We discuss the points of early diagnosis and management of EBTB.(Internal Medicine 31 : 593-598, 1992)

• 社団法人　日本内科学会の論文

著者

• Kawai Mitsuru

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• KUZE Fumiyuki

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• KURASAWA Takuya

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• KUBO Yoshiro

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• AMITANI Ryoichi

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• MURAYAMA Takako

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• TANAKA Eisaku

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• SUZUKI Katsuhiro

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• MATSUI Yasunori

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• SATO Atsuo

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• NIIMI Akio

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

• YUBA Yoshiaki

  the First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University

関連論文

• Experimental Model of Asthma by Toluene Diisocyanate (TDI)
• Diagnosis and Management of Endobronchial Tuberculosis.

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