A CASE OF LINGUAL TUBERCULOSIS IN ACUTE DISSEMINATED TUBERCULOSIS

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  • HIRAI Hiroshi
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • NAKATANI Tatsuhiro
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • HIROI Katsuhito
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • MATSUMOTO Shoichi
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • YAMADA Toshiko
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • HAYASHI Hiroto
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • UEDA Shintaro
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • SUGURO Cho
    From the First Department of Internal Medicine, Nihon University School of Medicine
  • MIZUSHIMA Noboru
    日本大学医学部耳鼻咽喉科
  • KOJA Masahiro
    日本大学医学部耳鼻咽喉科
  • KIKUCHI Kyozo
    日本大学医学部耳鼻咽喉科

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Other Title
  • 急性播種性結核症にみられた舌結核症の1治験例
  • キュウセイ ハシュセイ ケッカクショウ ニ ミラレタ シタケッカクショウ ノ

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Abstract

We recently experienced a case of lingual tuberculosis. The patient, a 70 years old male, complained of painful ulceration in tongue while he was treated for the gout.<BR>At first cancer of the tongue was suspected, however, biopsy specimen from the tongue and bacteriological examination revealed tuberculosis of the tongue.<BR>Additionally, tuberculous lesions were found in lungs, skin, kidneys and other organs, and the case was diagnosed as general hematogenous disseminated tuberculosis.<BR>Four weeks after the administration of SM, INH, RFP, EB and steroid, ulceration of tongue diminisched significantly with scar and also tuberculosis in other organs was markedly improved.<BR>This was an oldest case among 78 reported cases so far in Japan.

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