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Volume 80, Issue 2
Displaying 1-4 of 4 articles from this issue
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Yoshihiro KOBASHI, Minoru FUKUDA, Kouichiro YOSHIDA, Naoyuki MIYASHITA ...2005 Volume 80 Issue 2 Pages 57-62
Published: 2005
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESS[Objectives] To investigate the current status of patients with tuberculosis in Kawasaki Medical School Hospital which has closed tuberculosis isolation ward and review the nosocomial tuberculosis infection control.
[Materials and methods] Clinical analysis was performed and nosocomial tuberculosis infection control were examined in 39 patients from whom Mycobacterium tuberculosis was isolated in Kawasaki Medical School Hospital between January 2001 and August 2004.
[Results] Mycobac terium tuberculosis was isolated in 16patients in the Respiratory Division of the Department of Internal Medicine and in 23 patients in non-respiratory divisions. Thirty-four patients had underlying diseases and of these 14 patients had malignant diseases. The final diagnosis was pulmonary tuberculosis in 23 patients, and pulmonary tuberculosis was suspected in 13 patients on admission. The remaining 10 patients were treated for pneumonia on admission. M. tuberculosis was isolated most frequently from the sputum in 21 patients and 13 of them were smear positive who needs nosocomial infection control measures. Health examinations of the families and hospital staff in contact with these 13 patients with smear positive sputum after the diagnosis of tuberculosis revealed no active case of tuberculosis.
[Conclusions] This study has show n that there are many cases with an atypical pattern for pulmonary tuberculosis among patients with underlying diseases, especially malignant diseases. There are still many tuberculosis patients who were diagnosed pneumonia after the admission and were administered antibiotics. We believe that more educational guidance regarding tuberculosis is needed for the hospital staff.View full abstractDownload PDF (6571K) -
Kimihiro MIMURA2005 Volume 80 Issue 2 Pages 63-68
Published: 2005
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESS[Object] To investigate the epidemiology of M. kansasii infections in Okayama Prefecture and to consider the mode of infection of M. kansasii on the basis of the PFGE results.
[Materials and methods] 22 M. kansasii isolates of pulmonary infections from 22 patients treated between 1977 and 1993 in Okayama Prefecture were investigated by pulse-field gel electrophoresis (PFGE) using restriction endonuclease Vsp I. In addition, the tap water from five companies in the Mizushima Industrial Area was cultured to investigate the source of infection of this disease.
[Results] These M. kansaii isolates were found to be clustered into four or five by PFGE during different. From the tap water, M. kansasii was not detected. [Conclusions] From the result or tne PFGE, it was consiaered that the infection course of M. kansasii in Okayama Prefecture was living in a common environment or a district.View full abstractDownload PDF (1109K) -
Akane HARUNA, Hiromi TOMIOKA, Yousuke OHTAKE, Riyo FUJIYAMA, Hisashi O ...2005 Volume 80 Issue 2 Pages 69-74
Published: 2005
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESS[Aim/Methods] A series of 10 cases of chest wall tuberculosis (man/woman =7/3, average age 62 ± 17 years old) during past seven years were reviewed.
[Results] Acid-fast bacillus was detected from an abscess in 60% by smear, 30% by culture, and 75 % by polymeras e chain reaction (PCR). It was characteristic that enhanced CT of abscess revealed a low density mass with peripheral enhancement, ‘rim enhancement findings’, in all cases. CT also showed ipsilateral pleural thickening in all cases, suggesting lymphogenous pathogenesis of chest wall lesions from tuberculous pleurisy. As for the treatment, antituberculosis chemotherapies were done in all cases. In addition, open drainage was done in 8 cases and curettage of abscess was performed in 5 cases. None of these ten cases had relapsed during the follow-up periods for 12 to 77 months.
[Conclusions] Chest wall tuberculosis i s still important as a disorder of a chest wall mass requiring differential diagnosis. Contrasting CT is thought to be useful for the diagnosis. It should be emphasized that 50% of the cases had good outcome without curettage.View full abstractDownload PDF (4226K) -
2005 Volume 80 Issue 2 Pages 75-111
Published: 2005
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSDownload PDF (14061K)
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