先天性心疾患に合併した肺非定型抗酸菌症の1例
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概要
- 論文の詳細を見る
A case of 28-year-old female patient suffered from atypical mycobacteriosis with congenital heart failure was reported. She has been already diagnosed as congenital heart failure when she was 6 month old. At the age of fourteen, she was first diagnosed as pulmonary tuberculosis and received anti tuberculous drugs for 2 years. Subsequently, abnormal shadow on the chest X-ray was found at the age of twenty one. Smear and culture of the sputum demonstrated acid fast bacilli. She was retreated as the recurrence of tuberculosis, but clinical course was not satisfactory. From further examination of her sputum, it was demonstrated that causative bacteria was classified as M. intracellulare by Dr. M. Tsukamura (National Chubu Hospital) and it was drug resistant against all the anti-tuber culous drugs.<BR>On the other hand, cardiac catheterization revealed cardiac disease as the corrected transposition of the large vessels with ventricular septal defect and valvular pulmonary stenosis. Operative treat ment against the heart disease was performed, although in the sputum culture acid fast bacilli remained positive. Ten months after cardiac surgery, cavitary change on the chest X-ray disappeared and the cultures of sputum became negative in spite of in teruption of drug administration. It is concluded that atypical mycobacteriosis was healed with the improvement of pulmonary circulation by heart surgery, without any anti-tuberculous treatment.
- 日本結核病学会の論文
著者
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高本 正祇
独立行政法人国立病院機構大牟田病院内科
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篠田 厚
国立療養所大牟田病院
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高本 正祇
九州大学医学部附属胸部疾患研究施設
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石橋 凡雄
九州大学医学部附属胸部疾患研究施設
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杉山 浩太郎
九州厚生年金病院
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