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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2018
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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 |
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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 |
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