STUDIES ON RECENT DEATH CASES OF TUBERCULOSIS

• Published in: Japanese Journal of National Medical Services Vol. 44; no. 12; pp. 1199 - 1206
• Main Authors: OKUBO, Itsuko, HIGUCHI, Haruyuki, TAKAHASHI, Yoshio, KATSUI, Yoshikazu, UMAOKA, Shin, UCHIDA, Fumiya, YOSHINAGA, Nobutaka, HATA, Tadahiko, KASHIWAGI, Hideo, FUJII, Hideko
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 1990; 一般社団法人 国立医療学会
• Subjects: airway infection; atypical mycobacterium; bedridden; low nutrient; respiratory failure; 低栄養; 呼吸不全; 気道感染; 長期間臥床; 非定型抗酸菌
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.44.1199

Forty-two death cases of tuberculosis (120 of 350 inpatients with tuberculosis) happened in our hospital during the 5-year period from 1984 through 1989. The age of the time of death was over 70 years old in 66.7 per cent of the total death cases. Twenty-three cases (54.8%) received initial chemtoherapy and 8 cases (19.0%) received repeat-chemo-therapy. Four cases (9.5%) were persisters. Seven cases with sequelae of tuberculosis (16.7%) received no chemotherapy. Eight cases (19.4%) had positive M. tb. in sputum and 5 cases (11.9%) had positive atypical mycobacterium in terminal stage. As to their cause of death, death from respiratory failure occurred in 12 cases (28.6%), death from pneumonia occurred in 7 cases (16.7%), death from cancer occurred in 9 cases (21.4%) and death from tuberculosis occurred in 3 cases (7.1%). Death of respiratory failure and hemoptysis from tuberculosis and tuberculosis death were 30.9 per cent of total death cases. Poor prognostic factors were found in respiratoy failure (33.3% of total cases), airway infection (16.7%) bedridden patients (14.3%) and low nutrients (23.8%).