Uchigasaki Seisaku, Kumagai Tetsuo, Isahai Isamu, Oshida Shigemi, Morita Kaoru
Department of Legal Medicine, Nihon University School of Medicine, Tokyo 173-8610, Japan.
Leg Med (Tokyo). 2003 Mar;5 Suppl 1:S393-6. doi: 10.1016/s1344-6223(02)00140-2.
A 23-year-old woman who had worked as a hostess at a nightclub was found dead in her house. The cause of death was diagnosed as miliary tuberculosis from the findings of medico-legal autopsy. Recently, tuberculosis (TB) has re-emerged as a health problem due to recurrence in the aged, and infections among health care workers and young adults like the present case. Currently, the common source of TB transmission is recurrence in the aged, but global migration, difficulty to achieve permanent immunity by BCG vaccination, immunodeficiency such as HIV infection, and drug abuse and/or sexual intercourse are also thought to be associated with tuberculosis in young adults. Forensic pathologists should be aware of such connections with TB, and should take care not to become mediators of TB infections.
一名曾在夜总会担任女招待的23岁女性被发现死于家中。根据法医尸检结果，死因被诊断为粟粒性肺结核。近来，由于老年人结核病复发以及医护人员和像本案这样的年轻人感染，结核病再度成为一个健康问题。目前，结核病传播的常见源头是老年人复发，但全球人口迁移、卡介苗接种难以获得永久免疫力、诸如艾滋病毒感染等免疫缺陷以及药物滥用和/或性行为也被认为与年轻人患结核病有关。法医病理学家应意识到与结核病的此类关联，并应注意避免成为结核病感染的传播者。
