検診で発見された活動性大腸結核の1例
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概要
- 論文の詳細を見る
A 58 year-old woman visited our hospital, with slight fever and goiter. She was treated by NSAID as subacute thyroiditis. Clinical symptom disappeared, but erythrocyte sedimentation rate (ESR) remained accelerating. 2 years after the treatment, occult blood test of her feces turned to positive in mass survey for colorectal cancer. Colonoscopy revealed circular stricture with irregular, shallow and ringed ulcers on right sided transeverse colon. Biopsy specimen showed granulomatous inflamation with caseation necrosis. Chest X ray showed tiny nodules on both upper lobes of the lung. Anti-tubercular drugs were effective, and ESR normalized. Mycobacterium tuberculosis was not detected by Ziehl-Neelsens staining and PCR technique.
- Japan Gastroenterological Endoscopy Society Kanto Chapterの論文