title: [Pulmonary tuberculosis in compromised hosts in pathological view--the present state of mycobacterial disease in autopsy cases in two university hospital].
abstract: To clarify the present state of mycobacterial disease in autopsy cases, we reviewed the case records and autopsy data of 3848 cases who died in Kyushu University Hospital between 1976 and 1990, and 1193 cases died in University of Occupational and Environmental Health between 1981 and 1990. The incidence of mycobacterial disease has significantly decreased during the period examined, and that of active disease was about 1% between 1986 and 1990. Significantly more cases of fatal mycobacteriosis were received with corticosteroid than those of active but not fatal mycobacteriosis. Antemortem diagnosis of mycobacteriosis was made in 25.9% and 20% of fatal cases in each University Hospital. The possibility of mycobacteriosis was not suspected at all in some cases of fatal mycobacteriosis. Regardless of the suspicion of mycobacterial disease, the diagnosis was not made in other fatal cases, because of the negative bacteriology.
authors.affiliation: Division of Respiratory Diseases, University of Occupational and Environmental Health, Kitakyushu, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Nagata
authors.forename: H
authors.initials: H
authors.lastname: Miyazaki
mesh_terms: D000328:Adult; D000368:Aged; D001344:Autopsy; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D014397:Tuberculosis, Pulmonary / Q000276:immunology* / Q000473:pathology*