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A Case of Atypical Distribution of Pulmonary Tuberculosis in Bedridden Patient with Quadriplegia / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 52-55, 2010.
Article in Korean | WPRIM | ID: wpr-129606
ABSTRACT
Pulmonary tuberculosis has intermediate prevalence in Korea. It is known that tuberculosis infection predominantly involves the upper lobes, based on the fact that multiplication of Mycobacterium tuberculosis is favored in areas with decreased pulmonary blood flow, impaired lymphatic drainage, and high oxygen tension. We report this case of a 40-year-old man who was brought to our hospital with hemoptysis and dyspnea. Prior to admission, the patient had been in a bedridden state for 15 years due to an injury of the cervical spine 4~5. A 3-Dimensional computed tomography showed predominantly longitudinal distribution of centrilobular nodules along the anterior chest wall, in the left lung. MTB-PCR and AFB culture of bronchial washing fluid revealed pulmonary tuberculosis. This case shows that long-standing supine posture and decreased motion of the anterior chest wall may change the distribution of preferential infection site of Mycobacterium tuberculosis in the lung, resulting in a ventral predominance of tuberculosis infection in the quadriplegic patient.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Oxygen / Posture / Quadriplegia / Spine / Tuberculosis / Tuberculosis, Pulmonary / Tomography, X-Ray Computed / Drainage / Prevalence / Thoracic Wall Type of study: Prevalence study Limits: Adult / Humans Country/Region as subject: Asia Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Oxygen / Posture / Quadriplegia / Spine / Tuberculosis / Tuberculosis, Pulmonary / Tomography, X-Ray Computed / Drainage / Prevalence / Thoracic Wall Type of study: Prevalence study Limits: Adult / Humans Country/Region as subject: Asia Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2010 Type: Article