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二木, 功治; 西尾, 和三; 會田, 信治; 岡林, 賢; 中野, 泰; 竜崎, 崇和; 大曽根, 康夫; 鹿住, 祐子
日本内科学会雑誌, 2011, Volume: 100, Issue: 12Journal Article
症例は64歳,女性.咳嗽を主訴に近医受診.胸部CT上,多発小結節影および気管支拡張像が認められ,当院紹介受診した.気管支洗浄液にて抗酸菌陽性となり16S rRNAおよびrpoB遺伝子の相同性からMycobacteruim shinjukuenseと同定された.本菌株はTranscription Reverse-transcription Concerted method(TRC法)で結核菌群偽陽性を示した.クラリスロマイシン,リファンピシン,エタンブトール3剤併用療法を開始し,画像所見および自覚症状の改善が得られた.
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