抄録
We have experienced a case of pulmonary embolus complicating miliary tuberculcsis.
In Japan there are a few reported cases on the pulmonary embolus (pulmc nary infarction), therefore we have reviewed about this following case.
A 67-years-old woman was admitted on Semptember 2, 1968, with fever of 39°C, miliary shadows of both lung fields on chest X ray film and tbc-bacilli positive sputum.
In the course of 5 months antituberculous medication with SM, INH and PAS, she felt improved. Fever continued within normal level, tbc-bacilli in sputum became negative and findings of the chest x-ray film was also improved.
On February 10, 1969 she complained of cyanosis, tachycardia, shortness of breath, faintness and substernal pain radiated to the left shoulder followed by fever of 38°C with chills.
Blood pressure dropped to 76/52 mmHg. Laboratory data were as follows: ESR 68mm, Serum-LDH 1000μ, GOT 32 and W. B. C. 8, 200. E. K. G. revealed QIII, QaVF, negative TII, III and deep SI.
Chest x-ray film disclosed diffuse infiltrative densities suggesting pneumonia on both lung fields, especially on right side and elevated diaphragm.
Digitalis, predonisolone and antibiotics were given and O2 inhalation continued for 2 weeks, and her blood pressure recovered to 110/64 mmHg. Serum LDH and SGOT became within normal. Disappearance of SIQIII pattern and only ST segment depression in V5-6 in E. K. G. Roentgenographically pneumonia shadows diminished and elevated right diaphragm sank to the normal level.
