ステロイド剤吸入により誘発されたと考えられる気管・気管支結核の1例

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A 41-year-old female was admitted to our hospital on Dec. 13, 1980 with chief complaints of cough and fever. The Mantoux reaction was strongly positive, but the examinations of sputa and gastric juice failed to reveal any tubercle bacilli.<BR>On fiberoptic bronchoscopy three ulcers were observed along the right wall of the trachea covered with white necrotic mass, and the some white necrotic masses were observed along the front wall of the right main bronchus continuing to the orifice of the right middle lobe bronchus. Brushing of white necrotic masses revealed acid fast bacilli on smear, and later confirmed by culture as M. tuberculosis.<BR>Since one month before admission she had an inhalation therapy of corticosteroid against cough and sore throat, but her cough became more frequent and her body temperature went up.<BR>Above results and her clinical history may suggest that tracheo-bronchial tuberculosis was induced by the inhalation therapy of corticosteroid.
一般社団法人日本結核病学会の論文