Co-existent pulmonary tuberculosis and bronchogenic carcinoma.
نویسنده
چکیده
Case Report The patient first attended East Ham Chest Clinic in September 1953, when he was 68 years old. He complained of persistent cough for one year, which had been worse for the previous two months. It was associated with about an eggcupful of whitish sputum daily. He had experienced night sweats for one week, during which he complained of a pleuritic type of pain in the right chest. There was no relevant family history, and the only relevant detail in his previous medical history was that he had been graded Bz in I9I4 on account of a 'shadow on the lung.' On examination his general condition was poor; he was afebrile; his fingers were not clubbed. Physical examination of the chest showed it to be barrel-shaped with poor movement. The percussion note was impaired over the R.U.L. where medium crepitations were audible. Radiology of the chest showed the lungs to be emphysematous, and in addition there was infiltration and cavitation in the R.U.L. (Fig. i). The sputum was found to contain A.F.B.; the E.S.R. was 37mm./hr. A diagnosis of pulmonary tuberculosis was made and a course of chemotherapy instituted The response was good. Two months later the patient felt considerably better; there were no abnormal signs in the chest and there was definite
منابع مشابه
Co-Existent Tuberculosis and Carcinoma of the Lung
THE co-existence of pulmonary tuberculosis and bronchial carcinoma has been commented on many times and many authors have assessed the relative aetiological importance of the one to the other. It has, for example, been held (Rokitansky, 1854) that tuberculosis and carcinoma were antagonistic, whereas Ewing (1931) believed that tuberculosis was the main aetiological factor in carcinoma of the lu...
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عنوان ژورنال:
- Postgraduate medical journal
دوره 32 366 شماره
صفحات -
تاریخ انتشار 1956