肺炎桿菌 (Klebsiella pneumoniae) による中耳炎について

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  • 吉江 親正
    金沢大学医学部微生物学教室 国立金沢病院耳鼻咽喉科

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タイトル別名
  • ON OTITIS MEDIA PRODUCED BY KLEBSIELLA PNEUMONIAE
  • ハイエンカンキン Klebsiella pneumoniae ニ ヨル チュウジエン ニ ツイテ

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Of the four out of 486 cases of tympanitis, which were caused by Klebsiella pneumoniae; two of them were acute, (19 years, male; 6 years, female.) and another two were chronic (20 years, female; 7 years, female).<br>(1) These acute cases are usually so malignant that strong resist to treatment is seen and involves complications although symptoms presented are similar to the common cases and shows rapid development of painful ear and flushing of the eardrums.<br>(2) The clarifreation of Klebsiella pneumoniae is difficult, especially of modificational type, inspite of it's seruingly apparent finding. Klebsiella pneumoniae referred to us, were from small to medium, Gram-negative, and capsuled with both ends slightly curued. These were typed as M-type of Klebsiella pneumoniae. The viscosity and thearness of colony is the characteristic signs.<br>(3) The treatment is usually for involving complications which is seen more of ten compared to other cases caused by gram-positive cocci. To define the causal bacterium is important from the clinical point of view, because of its specific drug therepy.

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