2024-03-28T11:32:53Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00014770
2022-12-15T03:46:42Z
453:456
471:537:538:1072
Recent Trends of Pulmonary and Extra-Pulmonary Tuberculosis
5)最近の結核 : 肺結核, 肺外結核(シンポジウム, 最近の結核をめぐって)
5)最近の結核 : 肺結核, 肺外結核(シンポジウム, 最近の結核をめぐって)
佐藤, 和弘
95245
貝津, 智佳子
95246
三上, 理
95247
小浦方, 啓代
95248
Pulmonary and Extra-pulmonary tuberculosis
Tuberculosis in the elderly
Coexisting disease
Differential Diagnosis
Causes of death
肺結核・肺外結核
高齢者結核
基礎疾患
鑑別診断
結核死・非結核死
The incidence of tuberculosis has increased since 1997, especially in the elderly in Japan. And smear positive cases of the people aged more than 70 years old or more (elderly TB) consisted 56% of all the smear positive cases. To investigate the clinical features of the elderly TB, we investigate 323 cases of pulmonary and extrapulmonary tuberculosis patients between 1994 and 1999. The elderly TB group (149 cases) was characterized with coexisting diseases (malignancy, diabetes mellitus and dementia), detection at the advanced lesions, low performans status, malnutrition, complications (aspiration pneumonia, DIC and ARDS). Twenty eight patients were died, nine deaths from tuberculosis, nineteen deaths from the coexisting diseases. Extrapulmonary tuberculosis (ETB) develops in any organ or system, and were often difficult to diagnose in the early stage. Ninety five cases of ETB (29.1%) were found, presented with tuberculous pleurisy, lymphadenitis, bronchial tuberculosis, miliary tuberculosis, bone and joint tuberculosis, and intestinal tuberculosis. Some cases of ETB were delayed in diagnosis, and diagnosed by only surgical procedures.
departmental bulletin paper
新潟医学会
2001-08
application/pdf
新潟医学会雑誌
8
115
376
381
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/14770/files/115(8)_376-381.pdf
jpn