Document Detail

Pulmonary tuberculosis accompanied by a transient increase in serum carcinoembryonic antigen level with tuberculous empyema drainage.
MedLine Citation:
PMID:  17978537     Owner:  NLM     Status:  MEDLINE    
We present a case of pleural effusion with encapsulation that was observed in the right thorax of a patient. PCR analysis of the patient's pleural effusion showed positivity for Mycobacterium tuberculosis. After six months, his chest CT showed the development of niveau and pulmonary consolidation. We definitively diagnosed him as having chronic pulmonary tuberculosis with tuberculous empyema drainage. At the time of his hospital admission, his serum carcinoembryonic antigen (CEA) level was elevated. After we started treatment using antituberculosis drugs, the infiltration shadow in his lung fields disappeared, and the serum CEA level decreased. The results suggest that the serum CEA level reflects the extent of the development of pulmonary tuberculosis lesions.
Kiyoshi Sekiya; Toshihiko Sakai; Sakae Homma; Hirokazu Tojima
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  46     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2007  
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1795-8     Citation Subset:  IM    
Department of Respiratory Medicine, Tokyo Rosai Hospital, Tokyo, Japan.
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MeSH Terms
Antitubercular Agents / therapeutic use
Carcinoembryonic Antigen / blood*
Empyema, Tuberculous / blood*,  therapy
Mycobacterium tuberculosis / isolation & purification
Polymerase Chain Reaction
Tuberculosis, Pulmonary / blood,  diagnosis*,  therapy
Reg. No./Substance:
0/Antitubercular Agents; 0/Carcinoembryonic Antigen

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