Kekkaku(Tuberculosis)
Online ISSN : 1884-2410
Print ISSN : 0022-9776
ISSN-L : 0022-9776
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Volume 55, Issue 12
Displaying 1-5 of 5 articles from this issue
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  • IDENTIFICATION AND SERO-TYPING OF THE CLINICALLY ISOLATED ATYPICAL MYCOBACTERIUM STRAINS
    Hoichi NAGATOMI, Toshihiko ARAI, Sadao KOMATSU, Hiroyuki YUGI
    1980 Volume 55 Issue 12 Pages 519-524
    Published: December 15, 1980
    Released on J-STAGE: May 24, 2011
    DOIhttps://doi.org/10.11400/kekkaku1923.55.519
    JOURNAL FREE ACCESS
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    We identified all the niacin-non-producing mycobacterium strains isolated from sputa of patients in our hospital from April to September, 1979. Atypical mycobacterium strains were isolated from 1.75% of the sputum specimens. Finally, 24 independent atypical mycobacterium strains were identified as Mycobacterium intracellulare (75.0%), M. kansasii (8.3%), M. gordonae (8.3%), M. nonchromogenicum (4.2%) and M. fortuitum (4.2%). All these species were also reported by the co-operative study group of the Japanese National Chest Hospitals, but in our hospital, rather a variety of species were widely isolated than any single hospital of the members of co-operative group.
    These M. intracellulare strains were typed serologically using the anti-sera against 17 type standard strains to distinguish human popular strains (types 6, 14 and 16) from the strains to cause intestinal tuberculosis for domestic animals (types 4, 8, 9, 10, 11 and 12) and other strains. Our strains were classified into types 6, 16, 15, 8, 12 and others. No type 14 strain, one of the most popular human types, was isolated in our materials, but these results suggested that not only human types but also the typec to cause intestinal tuberculosis for domestic animals were common in human patients.
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  • THIN-LAYER CHROMATOGRAPHY AFTER INCUBATION WITH 35S-METHIONINE
    Meaning of Petroleum Ether-Soluble Fraction as Aid to Identification of Mycobacterium, Rhodococcus, and Nocardia
    Michio TSUKAMURA, Shoji MIZUNO
    1980 Volume 55 Issue 12 Pages 525-530
    Published: December 15, 1980
    Released on J-STAGE: May 24, 2011
    DOIhttps://doi.org/10.11400/kekkaku1923.55.525
    JOURNAL FREE ACCESS
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    Previously, we reported that thin-layer chromatography of ethyl ether-ethanol extracts of mycobacteria after incubation with 35S-methionine was useful for differentiation among mycobacterial species (Tsukamura, M. & Mizuno, S.: Int. J. Syst. Bacteriol., 25: 271-280, 1975; Kekkaku, 53: 85-89, 1978; Kekkaku, 54: 15-27, 1979). The method was also useful for differentiating rhodococci from nocardiae (Tsukamura, M. & Mizuno, S.: J. Gen. Microbiol., 105: 159-160, 1978). In the present study, the meaning of petroleum ether-soluble fraction has been studied, restricting the subject to this fraction.
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  • LONG-TERM OBSERVATION OF PATIENTS UNDERGONE PNEUMONECTOMY DUE TO PULMONARY TUBERCULOSIS
    Koji OHSHIMA
    1980 Volume 55 Issue 12 Pages 531-537
    Published: December 15, 1980
    Released on J-STAGE: May 24, 2011
    DOIhttps://doi.org/10.11400/kekkaku1923.55.531
    JOURNAL FREE ACCESS
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    Management of respiratory insufficiency following sequela of pulmonary tuberculosis is one of the important problems to be solved. We carried out pulmonary function tests in 48 patients who had received pneumonectomy a long ago in order to make guidelines for management of such patients.
    Subjective symptoms and blood gas level showed a good correlation with % VC. Since PaO2was kept above 65 mmHg when % VC was above 40, this level of 40% VC was considered to be a functional lower limit for daily life. Electrocardiogram finding was a simple index for everyday management. However, as some cases with normal blood gas level showed pulmonary P, the blood gas level should be measured and used together to evaluate the capacity for daily life. Many of the patients who received thoracoplasty in combination with pneumonectomy and the remaining lung did not expand well fell in severe pulmonary insufficiency and some died. Prevention of infection as well as of overwork and early management of respiration will lead to longer survival of these patients.
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  • ANALYSES ON CHRONIC EXCRETORS OF TUBERCLE BACILLI IN AICHI PREFECTURE
    Masanobu FUJIOKA, Norihiro UMEMURA, Masahiko YAMAMOTO, Takahiko SUGIUR ...
    1980 Volume 55 Issue 12 Pages 539-544
    Published: December 15, 1980
    Released on J-STAGE: May 24, 2011
    DOIhttps://doi.org/10.11400/kekkaku1923.55.539
    JOURNAL FREE ACCESS
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    In this study, 215 patients who continued to excrete tubercle bacilli (chronic excretors) and were hospitalized in 18 sanatoria or chest hospitals in Aichi Prefecture were analysed.
    The results were as follows:
    1) 215 chronic excretors occupied 10.3% of total patients with tuberculosis admitted in hospitals.
    2) Prognosis of chronic excretors was unfavourable; during 1 year after the first investigation, only 7 cases (3.3%) were discharged with the negative conversion of bacilli, 29 cases (13.5%) died of pulmonary tuberculosis, and 176 cases (81.9%) were still in hospital or discharged with positive bacilli.
    3) Most of 170 chronic excretors who were investigated in detail were far advanced type by X-ray findings and were treated for long-period before the admission.
    4) Applications of RFP and EB for chronic excretors were not effective, since most of effective chemotherapic drugs, including the above 2, were already used with failure.
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  • [title in Japanese]
    1980 Volume 55 Issue 12 Pages 545-563
    Published: December 15, 1980
    Released on J-STAGE: May 24, 2011
    DOIhttps://doi.org/10.11400/kekkaku1923.55.545
    JOURNAL FREE ACCESS
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