Cargando…

Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia

A 44-year-old man was referred to our hospital for the treatment of a pulmonary and deep sternal wound tuberculosis infection, which is an extremely rare type of extrapulmonary tuberculosis. Laboratory testing revealed a serum immunoglobulin (Ig) G level of 286 mg/dL, IgA of 22 mg/dL and IgM of 13 m...

Descripción completa

Detalles Bibliográficos
Autores principales: Hamada, Kazuki, Oishi, Keiji, Uehara, Sho, Suetake, Ryo, Yamaji, Yoshikazu, Asami-Noyama, Maki, Edakuni, Nobutaka, Hirano, Tsunahiko, Sakamoto, Kenji, Matsumoto, Tsuneo, Matsunaga, Kazuto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172533/
https://www.ncbi.nlm.nih.gov/pubmed/29709943
http://dx.doi.org/10.2169/internalmedicine.0617-17
_version_ 1783360967421198336
author Hamada, Kazuki
Oishi, Keiji
Uehara, Sho
Suetake, Ryo
Yamaji, Yoshikazu
Asami-Noyama, Maki
Edakuni, Nobutaka
Hirano, Tsunahiko
Sakamoto, Kenji
Matsumoto, Tsuneo
Matsunaga, Kazuto
author_facet Hamada, Kazuki
Oishi, Keiji
Uehara, Sho
Suetake, Ryo
Yamaji, Yoshikazu
Asami-Noyama, Maki
Edakuni, Nobutaka
Hirano, Tsunahiko
Sakamoto, Kenji
Matsumoto, Tsuneo
Matsunaga, Kazuto
author_sort Hamada, Kazuki
collection PubMed
description A 44-year-old man was referred to our hospital for the treatment of a pulmonary and deep sternal wound tuberculosis infection, which is an extremely rare type of extrapulmonary tuberculosis. Laboratory testing revealed a serum immunoglobulin (Ig) G level of 286 mg/dL, IgA of 22 mg/dL and IgM of 13 mg/dL. We therefore diagnosed him with hypo-gamma-globulinemia. He was treated with anti-tuberculosis medications and intravenous immunoglobulin. At present, the tuberculosis has not relapsed in the past six years. It may be useful to assess the humoral immunity status in tuberculosis patients with a normal T cell function, and immunoglobulin therapy may be beneficial for protecting such patients from reactivation of tuberculosis.
format Online
Article
Text
id pubmed-6172533
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-61725332018-10-09 Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia Hamada, Kazuki Oishi, Keiji Uehara, Sho Suetake, Ryo Yamaji, Yoshikazu Asami-Noyama, Maki Edakuni, Nobutaka Hirano, Tsunahiko Sakamoto, Kenji Matsumoto, Tsuneo Matsunaga, Kazuto Intern Med Case Report A 44-year-old man was referred to our hospital for the treatment of a pulmonary and deep sternal wound tuberculosis infection, which is an extremely rare type of extrapulmonary tuberculosis. Laboratory testing revealed a serum immunoglobulin (Ig) G level of 286 mg/dL, IgA of 22 mg/dL and IgM of 13 mg/dL. We therefore diagnosed him with hypo-gamma-globulinemia. He was treated with anti-tuberculosis medications and intravenous immunoglobulin. At present, the tuberculosis has not relapsed in the past six years. It may be useful to assess the humoral immunity status in tuberculosis patients with a normal T cell function, and immunoglobulin therapy may be beneficial for protecting such patients from reactivation of tuberculosis. The Japanese Society of Internal Medicine 2018-04-27 2018-09-01 /pmc/articles/PMC6172533/ /pubmed/29709943 http://dx.doi.org/10.2169/internalmedicine.0617-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hamada, Kazuki
Oishi, Keiji
Uehara, Sho
Suetake, Ryo
Yamaji, Yoshikazu
Asami-Noyama, Maki
Edakuni, Nobutaka
Hirano, Tsunahiko
Sakamoto, Kenji
Matsumoto, Tsuneo
Matsunaga, Kazuto
Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title_full Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title_fullStr Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title_full_unstemmed Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title_short Deep Sternal Wound Tuberculosis with Hypo-gamma-globulinemia
title_sort deep sternal wound tuberculosis with hypo-gamma-globulinemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172533/
https://www.ncbi.nlm.nih.gov/pubmed/29709943
http://dx.doi.org/10.2169/internalmedicine.0617-17
work_keys_str_mv AT hamadakazuki deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT oishikeiji deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT ueharasho deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT suetakeryo deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT yamajiyoshikazu deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT asaminoyamamaki deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT edakuninobutaka deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT hiranotsunahiko deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT sakamotokenji deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT matsumototsuneo deepsternalwoundtuberculosiswithhypogammaglobulinemia
AT matsunagakazuto deepsternalwoundtuberculosiswithhypogammaglobulinemia