SEVERE CASES OF PULMONARY TUBERCULOSIS REQUIRED MECHANICAL VENTILATION

• Published in: Kekkaku Vol. 70; no. 2; pp. 103 - 110
• Main Authors: NIIMI, Takashi, MASE, Yuji, AKITA, Yuko, MAJIMA, Kunimichi, IIJIMA, Naoto, Yoshikawa, Kosho, HASEGAWA, Yumi, INA, Yasutaka
• Format: Journal Article
• Language: Japanese
• Published: Japan JAPANESE SOCIETY FOR TUBERCULOSIS 01.02.1995
• Subjects: Adult; Aged; Female; Humans; Male; Mechanical ventilation; Middle Aged; Pulmonary tuberculosis; Respiration, Artificial; Respiratory failure; Respiratory Insufficiency - etiology; Respiratory Insufficiency - therapy; Tuberculosis, Pulmonary - complications; Tuberculosis, Pulmonary - therapy
• ISSN: 0022-9776; 1884-2410
• DOI: 10.11400/kekkaku1923.70.103

We report severe cases of pulmonary tuberculosis with respiratory failure who requiredmechanical ventilation. Of 99 patients with pulmonary tuberculosis admitted to Daido Hospital from November 1991 to November 1993, 6 patients had been mechanicallyventilated. Four of these 6 patients were vegrants and had long delay from onset of thesymptom to the admission. Chest X-rays of ventilated patients showed bilateral, extensiveshadows consistent with those of typical pulmonary tuberculosis, and a large number ofacid-fast bacilli were detected in their sputa. Though all ventilated patients except one HCV carrier had no underlying disease, they showed remarkable emaciation and malnutrition. They also showed weak PPD-skin reactions and reduced number of lymphocytes thatsuggested immunological disorders. Four cases have recovered, so we conclude thatmechanical ventilation is necessary and useful for the treatment of severe cases ofpulmonary tuberculosis.