ROENTGENOLOGICAL STUDIES OF LUNG DISEASE DUE TO MYCOBACTERIA OTHER THAN TUBERCLE BACILLI
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- SHIMOIDE Hisao
- 国立療養所東京病院
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- KITA Nobuhiko
- 国立療養所近畿中央病院
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- TSUKAMURA Michio
- 国立療養所中部病院
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- KAWAKAMI Keishi
- 国立療養所福岡東病院
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- KONDO Hiroko
- 国立療養所天竜荘
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- TAMURA Masatoshi
- 国立新潟療養所
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- YOSHIMOTO Itsuo
- 国立高知療養所
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- NAKAJIMA Naoto
- 国立長崎療養所
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- ITO Tadao
- 国立療養所神奈川病院
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- KUSE Akihiko
- 国立療養所札幌病院
Bibliographic Information
- Other Title
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- 肺非定型抗酸菌症のX線学的研究
- ハイ ヒ テイケイ コウサンキンショウ ノ Xセンガクテキ ケンキュウ 2 シ
- The second report: On the Course of the Progression of Pulmonary Lesions in the Fatal Cases
- 第2報死亡例における病変の進展経過について
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Abstract
Sixty seven cases with pulmonary atypical mycobacteriosis (2 by M. kansasii, 62 by M. intracellulare, 2 by M. fortuitum and 1 by a possible new pathogen of group III mycobacteria) died in 9 Japanese national sanatoria up to October 1976.<BR>Of these 67 cases, 40 died of atypical mycobacterial disease, and the remaining 27 cases died of other diseases. Roentgenological aggravation was found in 44 cases (1 by M. kansasii, 1 by M. fortuitum and 42 by M. intracellulare).<BR>There were various types of roentgenological aggravation. Spread of non-cavitary foci, infiltrate and pneumonia were found most frequently (40/44, 90.9%). Enlargement of cavity was found in 12 cases (27.2%), appearance of pleural effusion in 5 cases (11.4%), and spontaneous pneumothorax in 3 cases.<BR>Infection of bulla was found in 11 out of 22 cases with bullae as the underlying disease.<BR>The first roentgenological aggravation was found in 20 (45.5%) out of 44 cases within 12 months; 13 cases (29.5%) between 13 to 24 months; and 11 cases (25%) over 2 years after the discovery of the disease.<BR>From the results mentioned above, in the fatal cases, progression of the disease was predicted by the appearance of the roentgenological aggravation within 2 years after the discovery of the disease.<BR>There were various courses of the progression of the lesions as shown in Figures 2a and 2b. One of the typical course of the progression was devided into the following 5 stages:<BR>The first stage: localized cavitary lesion.<BR>The second stage: spread of foci around cavity.<BR>The third stage: spread of foci in contralateral lung.<BR>The fourth stage: enlargement of cavity (appearance of giant cavity).<BR>The fifth stage: extensive pneumonia in the lower lung field. Another typical course of the progression was the repeated infections of bullae.<BR>Roentgenological aggravation found in patients with atypical mycobacterial disease was not rarely due to the mixed infection with various organisms (gram-negative bacilli, fungi and also human type tubercle bacilli).<BR>The majority of the patients with underlying pulmonary disease (extensive emphysema, chronic bronchitis and bronchiectasis) died of pulmonary insufficiency in the relatively early stage of atypical mycobacteriosis.<BR>The patients with the mixed infection have died, in spite of the negative conversion or the dicrease of the excretion of atypical mycobacteria.<BR>There were two cases (M. intracellulare infection) complicated with pulmonary tuberculosis.
Journal
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- Kekkaku(Tuberculosis)
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Kekkaku(Tuberculosis) 53 (2), 99-105, 1978
JAPANESE SOCIETY FOR TUBERCULOSIS
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Details 詳細情報について
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- CRID
- 1390001205003353600
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- NII Article ID
- 130001418558
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- NII Book ID
- AN00073442
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- ISSN
- 18842410
- 00229776
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- NDL BIB ID
- 1927931
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- PubMed
- 633707
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- Data Source
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- JaLC
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed