喉頭
Online ISSN : 2185-4696
Print ISSN : 0915-6127
ISSN-L : 0915-6127
喉頭結核2症例
-院内感染対策からみた取り扱い-
松原 尚子梅崎 俊郎小宗 静男
著者情報
キーワード: 喉頭結核, 診断, 院内感染
ジャーナル フリー

2006 年 18 巻 1 号 p. 27-31

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The decline of tuberculosis has resulted in laryngeal tuberculosis becoming rare. We observed only two cases of laryngeal tuberculosis during the past 10 years. A chief complaint of this malady was hoarseness. The patients' chest x-rays showed abnormality. One case had an ulcer lesion in the false vocal fold, and the other had white and granulomatous lesions in the vocal fold and epiglottis. A stroboscopic examination was performed on the case which had a pathological change in their vocal cords. Stroboscopic finding were useful in assessing the presence of laryngeal cancer. Mycobacterium tuberculosis was discharged in the phlegm of one of the cases. As a result, tuberculosis infection in our hospital became a concerm. From experience of two cases, strategies were given consideration to prevent such an infection from spreading through the hospital when a case of laryngeal tuberculosis was suspected. A patient who has a pathological change to their larynx and has a cough is recommended to take a chest x-ray at an early stage. Medical practitioners should presently refresh their knowledge about tubercular diagnosis and prevention.

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