PRIMARY TUBERCULOSIS INFECTION THROUGH THE SKIN IN A POSITIVE TUBERCULINREACTOR BY BCG (CLINIC AI OBSERVATION COVERING A PERIOD FOR 10 YEARS)
スポンサーリンク
概要
- 論文の詳細を見る
1. Primary tuberculosis infection through the skin of a nurse aged 27 is presented. She had the infection at the age of 17 while she had been a positive tuberculin-reactor by BCG.<BR>2. As her tuberculin reaction had been negative, she received BCG inoculation and her tuberculin reaction became positive. Two years after the positive conversion of her tuberculin reaction. she developed suddenly a high fever with right axillary adenoids. Tubercule bacilli were found from the smears of the axillary nodes. Then, her skin reaction to tuberculin became strong positive with vesicle. Primary focus was discovered and then the chance of the infection was confirmed. It is very interesting that her tuberculin reaction before and after the infection were frequently examined.<BR>3. Six weeks after the onset, she developed right axillary nodular swelling (about twice a hen's egg) which was followed by fluctuatiol. Two months later right supraclavicular nodes enlarged, and three and a half months later the patient's temperature curve became normal with occasional elevations. By the end of one year and three months, there developed left coxal joint tuberculosis and right pulmonary tubercculosis. Thereafter, from the right axillary and supraclavicular nodes and left coxal joint spontaneous drainage occurred, but all these drains healed within 4 to 5 years. Thereafter, no advance was observed in the pulmonary tuberculosis and six years later the chest roentgenogram showed calcified scar in the right upper lobe and adjacent to the left hilum. At present, this patient has def ormities of the left coxal joint and is walking with the help of stick.
- 一般社団法人 日本結核病学会の論文