[A foreigner case of pulmonary tuberculosis with patient's and doctor's delay].
A 80-year-old man who came from Korea a few days previously, had a high fever and dyspnea. Chest radiography and computed tomography showed various shadow suggesting tumors, small nodules and reticular shadows with effusion. We made a clinical diagnosis of lung cancer with pneumonia. Finally, however, the culture of bronchial lavage fluid and transbronchial biopsy revealed tuberculosis. It was obvious that there were delaying factors such as the patient's social and economical situation as well as the diagnostic difficulty concerning the chest image findings. Whenever we find a abnormal shadow on chest images, we should consider mycobacterium infection in the differential diagnosis disease.
Kajihara
Toshiki
T
Department of Respiratory Disease, Hiroshima Red Cross Hospital.
Nitta
Tomoko
T
Mito
Akiko
A
Yamasaki
Masahiro
M
Ohashi
Nobuyuki
N
Arita
Ken-Ichi
K
D000369:Aged, 80 and over; D006801:Humans; D007723:Korea / Q000208:ethnology; D008297:Male; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*