寒冷凝集素価の上昇を認め, 巨大空洞の穿孔により気胸を惹起した単球性白血病の1例

浅野 洋治; 日野 研一郎; 吉田 一明; 長谷川 洋; 竹中 武弘; 鶴岡 延熹; 清水 盈行; 岡田 拓郎; 篠原 文雄; 風間 和男; 田代 浩二

doi:10.14930/jsma1939.40.261

A CASE OF MONOCYTIC LEUKEMIA WITH PNEUMOTHORAX DUE TO THE PERFORATION OF GIANT CAVITY AND A RISE OF COLD AGGLUTININ TITER

Yoji ASANO, Kenichiro HINO, Kazuaki YOSHIDA, Hiroshi HASEGAWA, Takechiro TAKENAKA, Nobuyoshi TSURUOKA, Michiyuki SHIMIZU, Takuro OKADA, Fumio SHINOHARA, Kazuo KAZAMA, Kouji TASHIRO

Author information

Yoji ASANO
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Kenichiro HINO
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Kazuaki YOSHIDA
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Hiroshi HASEGAWA
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Takechiro TAKENAKA
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Nobuyoshi TSURUOKA
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Michiyuki SHIMIZU
The 2nd Department of Internal Medicine, School of Medicine, Showa University
Takuro OKADA
The 2nd Department of Pathology, School of Medicine, Showa University
Fumio SHINOHARA
The 2nd Department of Pathology, School of Medicine, Showa University
Kazuo KAZAMA
The 2nd Department of Pathology, School of Medicine, Showa University
Kouji TASHIRO
The 2nd Department of Pathology, School of Medicine, Showa University

JOURNAL FREE ACCESS

1980 Volume 40 Issue 2 Pages 261-266

DOI https://doi.org/10.14930/jsma1939.40.261

Details

Abstract

The patient was a 58-year-old woman. She was admitted to our hospital because of easy fatigue and hypertrophied gingival gums. Leukocyte count was 56, 200 per cmm. Seventy three percent of leukemic cells of monocytic series were found in peripheral blood and 89 percent in bone marrow. A diagnosis of acute monocytic leukemia was made. The patient was resistant to the combined chemotherapy with daunorubicin, cytosinearabinoside and prednisolone and the remission was not obtained through-out the clinical course.
Giant aspergilloma caused by secondary infection of aspergillus in the tuberculotic lesion produced a giant cavity, penetrated the wall of the lung and caused preumothorax. The patient died of difficulty of breathing.

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