@article{oai:niigata-u.repo.nii.ac.jp:00014770, author = {佐藤, 和弘 and 貝津, 智佳子 and 三上, 理 and 小浦方, 啓代}, issue = {8}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Aug}, note = {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.}, pages = {376--381}, title = {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)}, volume = {115}, year = {2001} }