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01 奈良県立医科大学 >
011 医学部 >
0112 紀要 >
01121 Journal of Nara Medical Association >
Vol.50 No.5 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/547
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Title: | 特発性間質性肺炎の治療中に肺結核症を併発した高齢者の1例 |
Other Titles: | A CASE OF ELDERLY PATIENT WITH PULMONARY TUBERCULOSIS UNDER TREATMENT OF IDIOPATHIC INTERSTMAL PNEUMONIA |
Authors: | 佐々木, 理恵 山野, 繁 京田, 有輔 西本, 和央 中嶋, 民夫 橋本, 俊雄 土肥, 和紘 藤井, 謙裕 |
Keywords: | elderly patlent idiopathic interstitial pneumoma pulmonary tuberculosis steroid therapy |
Issue Date: | 31-Oct-1999 |
Publisher: | 奈良医学会 |
Citation: | Journal of Nara Medical Association Vol.50 No.5 p.447-452 |
Abstract: | A case of idiopathic interstitial pneumonia with pulmonary tuberculosis is
reported. The patient was a 70-year-old man. On March 14, 1997, he visited Saiseikai Gose
Hospital because of dyspnea on effort, which started in early March. He was diagnosed
with acute interstitial pneumonia and admitted to the hospital the same day. After
admission, respiratory failure worsened, but after steroid pulse therapy, respiratory func-
tion improved. Since April 20, the patient complained of cough and fever again, and
tubercle bacilli, Gaffky Ⅶ, were found in his sputum. He was admitted to our hospital for
treatment of pulmonary tuberculosis. The Gaffky score decreased with therapy, but liver
dysfunction developed, so treatment was interrupted. Early in September, respiratory
failure worsened again. Gaffky score was 0, but chest X-ray findings led to a diagnosis of
recrudescence of idiopathic interstitial pneumonia. After steroid pulse therapy, the patient'
s repiratory function improved again. Subsequently, we reduced the steroid dosage gradu-
ally. He was dischanged on May 3, receiving predonisolone 10 mg/day.
This case suggests that in elderly patients under steroid therapy Mycobacterium tubercu-
losis infection should be considered even in the absence of a history of tuberculosis. |
URI: | http://hdl.handle.net/10564/547 |
ISSN: | 13450069 |
Appears in Collections: | Vol.50 No.5
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