スポロトリクム症—宮城県下における第1例とその温浴療法について

SPOROTRICHOSIS-A NORTHERN-MOST CASE IN JAPAN AND THE HEALING EFFECT OF LOCAL HEATING

はじめに

　本邦におけるスポロトリクム症の分布をみると関東地方にはなはだその症例の多いのに比し，それに隣接する東北地方においてはまれであつて，昭和40年鈴木ら^1）の福島県下における第1例の報告以後，菅原ら^2）によつて福島県下の症例が追加されているのみで，それ以北の地域における確実な本症の報告は知られていない。今回われわれが経験した症例は，宮城県仙台市在住の女子例であり，これは従来の確実な本症報告例中の，本邦における最北限感染例である。われわれはこの症例に対し，最近注目されている温熱療法の1つである温浴法による治療を試み，比較的短時日の問に全治せしめ得た。よつて，ここに症例の概略とその治療経過を報告し，併せて温熱療法に関し若干の考察を試みることにする。

A 22-year-old female having sporotrichosis in Sendai City was reported. This was a case occurred in the northest part of Japan.

The skin manifestation was of the typical lymphatic type. From the pus of the lesion Sporotrichum schenckii was cultured. The time of her infection was thought to be October, which corresponds to the season for the highest incidence of the disease.

Fungus elements in histologic specimens were composed of free spores, some of which showed budding.

Warm bath therapy recommended by Trejos et al. was applied to the patient. The affected limb was immersed into water of 44 to 45℃, for 30 minutes, 4 times a day at 8, 12, 16 and 20 o'clock. The patient was kept warm with a thick towel between baths.

About the 7th day after the beginning of the treatment, the skin manifestation began to improve, and the patient was completely cured after 38 days' treatment. No recurrence was noted one year and 5 months after the treatment. Culture tests of the fungus from the lesion were positive 2 weeks and negative 17th day after starting the therapy. No drug was administered.

Because this therapeutic method has an advantage of more rapid effect than that of potassium iodide and has no untoward side action, it should be recommended for wider application.