Shishido S, Toritani T, Yoshida K, Nakano H, Nishimoto H
Division of Respiratory Internal Medicine, National Matsue Chest Hospital, Shimane, Japan.
Kekkaku. 1995 Aug;70(8):473-6.
A 33-year-old woman had been on hemodialysis since she was 25 years old. In September, 1993, she had cough, which gradually increased in severity, and was accompanied by slight fever. No abnormality was observed on the chest radiography taken on November 2. However, bilateral diffuse miliary shadows were observed on the radiograph taken on November 30. Tubercle bacilli were detected by the examination of sputum smear. As she was pregnant 20 weeks, therapeutic abortion was done on December 8. A case of miliary tuberculosis occurring during pregnancy in a patient on hemodialysis has not been documented in Japan to date, and the first case in Japan was reported with a review of the literature.
一名33岁女性自25岁起开始接受血液透析。1993年9月，她出现咳嗽，且症状逐渐加重，并伴有低热。11月2日的胸部X光片未发现异常。然而，11月30日的X光片显示双侧弥漫性粟粒状阴影。痰涂片检查发现结核杆菌。由于她已怀孕20周，于12月8日行治疗性流产。迄今为止，日本尚未有血液透析患者孕期发生粟粒型肺结核的病例报道，本文结合文献复习报道了日本首例此类病例。
