急性胸膜炎で発症し, 胸水からMycobacterium kansasiiが検出された, M.kansasii症の1例
1993 年 68 巻 8 号 p. 527-531
詳細
1993 年 68 巻 8 号 p. 527-531
A 28 year-old man was admitted to our hospital because of fever, cough and chestpain. A chest X-ray film taken on admission showed infiltrate in the left upper lung field with ipsilateral pleural effusion.
Microscopical examinations of stained specimens of sputa and pleural effusions disclosed no acid-fast bacilli. The level of adenosine deaminase (ADA) in pleural effusion was 46.4IU/l. A tuberculin skin test was moderately positive.
The most probable diagnosis was pulmonary tuberculosis with pleural effusion. Isoniazid (INH) and rifampicin (RFP) were administered on the 5 th hospital day and continued to lower the fever and reduce the pleural effusion.
The cultured specimens of sputa and pleural effusions yielded Mycobacterium kansasii. After six months of treatment, chest X-ray film showed improvement and the administration of INH, RFP was discontinued without reccurence.
