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KMID : 0383819560030010007
Tuberculosis and Respiratory Diseases
1956 Volume.3 No. 1 p.7 ~ p.11
The Bacteriologic Study of the Tubercle Bacilli in Resected Pulmonary Lesions
±è±âÈ£(ÑÑÑÃûà)/Kiho Kim
Abstract
The usage of antituberculous agents in combination with surgical resectional
procedures in the treatment of pulmonary tuberculosis has becoming popular In the past
year. However recently it has been a tendency to divest our attention from the
pathologic study of the resected specimens to divert our attention from the pathologic
study of the resected specimens to bacteriologic investigation.
This was the common findings, in many cases in which antituberculous therapy has
been done, that the lesions in reseated lung specimens may contain many tubercle bacilli
which do not grow on culture or produce disease in guinea pigs.
It is of great clinical importance to determine whether this phenomenon is due to
natural mechanisms associated with healing or a direct result of antituberculous therapy.
I have had the opportunity to study the bacteriology of the lessons from three
tuberculous patients who had no preoperative chemotherapy. Also my present report
includes the bacteriologic finding from other cases in which resection was performed
after varying periods of chemotherapy as well as experimental bacteriologic procedures
which were carried out in connection with this relation.
1. This is to present a report of becteriologic study for tubercle bacilli of 47 surgical
specimens from 25 patients.
2. The, specimens are devided in three groups according to preoperative management.
The first group had certain period of chemotherapy contineously prior to surgery ; the
second group had several courses of chemotherapy irregularly before surgery; and third
had chemotherapy.
3. The non-culturable tubercle bacilli were found in some cases ill all of the groups.
4. It may be emphasized that the further correlative studies of the pathologic and
bacteriologic manifestations of both treated and untreated tuberculous lesion is
nescessary.
KEYWORD
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