Yuka Sasaki

A study on the background factors of cases died of pulmonary tuberculosis detected by symptomatic visit

Forty three patients detected by symptomatic visit and died of active pulmonary tuberculosis were investigated on their social background factors. As to age of 43 cases, 17 cases (40%) were fortieth of fiftieth; namely in young productive age. Sixteen were male and 13 cases lived alone and thirteen cases had no regular occupation when they were admitted. Three were too serious to talk about their case histories. Among other 13 cases, none visited a hospital within three months from the appearance of their symptoms and 8 cases visited a hospital after six months or long from the appearance of their symptoms. Thus, the patients delay was obvious, and this was actually the cause of death in this cases.

Home oxygen therapy in pulmonary tuberculosis and pulmonary atypical mycobacteriosis during chemotherapy

During the period of eight years from 1985 to 1992 we had sixteen patients (pulmonary tuberculosis: 6, atypical mycobacteriosis: 10) who had been under the treatment for tuberculosis and on whom home oxygen therapy (HOT) was started. Of sixteen patients twelve had history of antituberculous therapy in the past. There were nine chronic active or persistently sputum positive patients of whom three were pulmonary tuberculosis and six atypical mycobacteriosis. The duration of illness was long in these patients and it was more than ten years in tuberculosis patients. Four cases died, two cases of pulmonary tuberculosis died from hemoptysis, and two cases of atypical mycobacteriosis died from respiratory failure.

A Case of Invasive Thymoma with Pure Red Cell Aplasia After Anti cancer Chemotherapy.

症例は68歳, 女性で, 咳嗽を訴え, 当科に入院となった. 胸部エックス線写真で前縦隔に腫瘍を認めた. CT写真上, 前縦隔腫瘍の他に, 後胸膜面に一カ所と, 他に肋骨転移を疑わせる腫瘍を認めた. 経皮生検で胸腺腫と診断した. 臨床病期はIVb期であった. 抗癌剤を投与したが腫瘍は縮小しなかった. 3カ月後, 息切れ, 呼吸困難を訴え, 緊急入院となった. 血液データから赤芽球癆と診断し, 輸血, 副腎皮質ステロイド剤によるパルス療法を施行したが, 改善せず, 心不全で死亡した.