自然治癒した粟粒肺結核症の1例

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A case report of 22 years old male showing disseminated miliary shadow in the lung field and slight enlargement of bilateral hilar lymphnodes detected in 1974 by the mass survey was presented.<BR>He was asymptomatic and showed negative reaction to PPD. He was submitted to lung biopsy, with suspect of Pulmonary Sarcoidosis, and the results revealed non-necrotising epithelioid cell granuloma in the lung and sclerosing epithelioid cell granuloma in the plura and interlobar lymphnode, respectively.<BR>He had been kept under observation without treatment with tentative diagnosis of Pulmonary Sarcoidosis for several months until abnormality disappeared spontaneously from the chest radio grams. 10months later, the biopsy material was reviewed by acid-fast staining and mycobacteria were found in the foci.<BR>At present, 2 years after the on-set of the disease, abnormal shadow is not observed on the chest radiogram, however, reaction to PPD converted to slightly positive. (The culture of tubercle bacilli of the open lung biopsy material was found to be negative.)
日本結核病学会の論文