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ID 116037
Title Alternative
Diagnosis and Treatment of Pulmonary Nontuberculous Mycobacterial Disease : Focusing on Differences from Pulmonary Tuberculosis and Atypical Cases
Author
Keywords
pulmonary nontuberculous mycobacterial disease
pulmonary tuberculosis
atypical cases
pitfalls
Content Type
Journal Article
Description
In public hospital peer groups such as the National Hospital Organization (NHO) and JA Welfare Federation, hospitals are set up in various places around Japan and play an important role in clinical researches including clinical trials on a nationwide scale. In particular, NHO has contributed to policies such as vaccination against new viruses by conducting clinical studies that are directly linked to medical administration. NHO is also conducting clinical researches to promote EBM in Japan and organ-specific network researches. Many multi-institutional joint studies on pulmonary mycobacterial disease are also underway, and in recent years the weight of research on pulmonary nontuberculous mycobacterial disease (PNTMD) has increased rather than pulmonary tuberculosis (PTB).
Epidemiological studies of PNTMD in Japan have been conducted mainly by joint research groups of the former National Sanatorium (now NHO), but with the increase in prevalence, they are now a national survey with the additional participation of community hospitals. The incidence rate of PNTMD in Japan is exceeding that of culture-positive PTB and the highest among major industrialized nations. Although the typical clinical course and radiological manifestations of PNTMD differ from those of PTB, physicians with little experience in treating tuberculosis patients sometimes confuse these mycobacterial diseases.
This review describes the diagnosis and treatment of PNTMD, with an emphasis on differences from pulmonary tuberculosis. In addition, I present our own cases of PNTMD at NHO Kochi Hospital and explain the atypical cases and pitfalls that may be encountered in daily practice.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
77
Issue
1-2
Start Page
45
End Page
56
Sort Key
45
Published Date
2021-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences