[A recovered case of serious lung tuberculosis on wanderer].
This report is a case study of a vagrant whose state of tuberculosis showed noteworthy improvement due to clinical treatment. A 54-year-old male, vagrant, was admitted to the hospital in a state of preshock because of a serious stage of lung tuberculosis. The clinical course was severe, but after three months of intensive care the patient recovered. It was noted that the echocardiogram taken after recovery revealed improvement when compared with the one taken upon admission, which showed remarkable right ventricular overload. Furthermore, anti-tuberculosis agents proved to be very effective in this case. The patients respiratory functions improved more markedly than had been expected. The reason for reporting this case study is to bring attention to the improvements in the patient's clinical course and echocardiographic findings. These suggest that tuberculosis in vagrants may differ from the usual stage of tuberculosis diagnosed in elderly persons in terms of response to anti-tuberculosis agents and potential recovery.
Nagano
K
K
National Sanatorium Myoujyou Hospital, Mie, Japan.
Kashiwagi
H
H
Yamaguchi
M
M
Ibe
T
T
Takahashi
Y
Y
Kastui
Y
Y
Teramura
S
S
Uchida
F
F
Nakano
T
T
D000995:Antitubercular Agents / Q000627:therapeutic use; D004452:Echocardiography; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D008875:Middle Aged; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging / Q000188:drug therapy
D000995:Antitubercular Agents