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[一例伴有胸壁畸形的非典型分枝杆菌病尸检病例]

[An autopsy case of atypical mycobacteriosis accompanied with chest wall deformity].

作者信息

Sugahara T, Tomoda K, Yoneda T, Ako H, Tsukaguchi K, Tokuyama T, Fu A, Narita N

机构信息

Second Department of Internal Medicine, Nara Medical University, Japan.

出版信息

Kekkaku. 1993 Dec;68(12):761-6.

PMID:8301919
Abstract

An autopsy case of 63-year old male of atypical mycobacteriosis with severe scoliosis was reported. He was diagnosed as atypical mycobacteriosis in 1981 and controlled by antimycobacterial treatment. But since 1989, dyspnea and sputum have been increasing, new abnormal shadow in company with progression of curvature of the scoliosis was revealed on the chest roentgenogram. In spite of various treatments for mycobacteriosis, he died of respiratory failure. The aggravation of this mycobacteriosis brought on advancement of malnutrition and impairment of cell mediated immunity. Findings of autopsy showed the remarkable chest wall deformity and tuberculous change of the lung parenchyma. In this case, chest deformity was thought as the major risk factor of onset of mycobacterial mycobacteriosis.

摘要

报告了一例63岁男性非典型分枝杆菌病合并严重脊柱侧弯的尸检病例。他于1981年被诊断为非典型分枝杆菌病,并接受抗分枝杆菌治疗控制。但自1989年以来,呼吸困难和咳痰增多,胸部X线片显示随着脊柱侧弯曲度进展出现新的异常阴影。尽管针对分枝杆菌病进行了各种治疗,他仍死于呼吸衰竭。这种分枝杆菌病的加重导致营养不良进展和细胞介导免疫受损。尸检结果显示胸壁明显畸形和肺实质结核样改变。在该病例中,胸部畸形被认为是非典型分枝杆菌病发病的主要危险因素。

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