1976 Volume 51 Issue 3 Pages 83-89
A 24-year old female student was admitted to Keio University Hospital on January 31, 1975, showing cyanosis, high fever and bilateral abnormal shadow on chest X-ray.
Tubercle bacilli was found in her gastic juice ten days after the admission. Nasal bleeding (Feb. 1) and ecchymosis in both hands (Feb. 5) appeared. In the examination results at this time delayed blood sedimentation rate, thrombocytopenia and low value of fibrinogen which was compatible with consumption coagulopathy were noticed.
It seems that the anoxia in this patient was a promoting factor of consumption coagulo pathy.
On the other hand, the exudative lesion on the chest X-ray which was found at the time of admission to our hospital became multiple bullous, thin walled cavities only 15 days later. It is suggested that the use of corticosteroid was greatly contributed to the formation of these bullous cavities in this case during such a short time.
