成人にみられた非定型抗酸菌による頚部リンパ節炎の1例
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概要
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A rare case of atypical mycobacterial cervical lymphadenitis in an adult was reported.<BR>A 33-year-old man noted a painful mass at the right angle of mandible. He had been treatedwith combined regimen composed of rifampicin (RFP), isoniazid (INH) and streptomycinagainst pulmonary infiltration for four months. He had overworked for a few months andfelt very much tired. His tuberculin reaction converted to negative by that time. The massrapidly expanded downwards while pulmonary infiltration was improving. Puncture of the massrevealed acid fast bacilli on smear and later confirmed by culture as M. aviumintracellularecomplex. He was treated initially with combined regimen composed of RFP, INH, ethambutoland Cycloserine, subsequently composed of RFP, minocycline and Maruyama vaccine undera diagnosis of atypical mycobacterial cervical lymphadenitis. The infection was cured and nosign of its recurrence has been seen yet.Considering his overwork and negative conversion of the Mantoux reaction, it is thoughtthat a temporary decrease of resistance (mainly cellular immunity) was correlated to theclinical manifestation of this disease in adults.
- 一般社団法人 日本結核病学会の論文