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pp.33-35
Published Date 1951/1/20
DOI https://doi.org/10.11477/mf.1492200450

Mishima and Osawa report on a case of bron-chistenosis in a female infant, 8 months old, which was born prematurely. About 4 months previous to the time of examination the infant had pneumonia and, since which it had been affected with marked respiratory wheezing while, of late it is accompanied with slight dyspnea. Roentgen ray picture of the chest reveal a triangular shaped shadow the base of which lying in proximity to the upper portion of the heart and the vertex extending up into the neck. Differential diagnosis on this shadow re-quired consideration of enlarged thymus, tuber-culous fistula and little's disease with difficulty in making a decision among them but, it was finally diagnosed as superior mediastinitis caused by complications of tubercular process. In this condition the symptoms, wheezing and slight dyspnea, might be caused by pressure of the enlarged lymph glands in the mediastinum at the region of bronchial subdivision exerted in sufficient amount to create stenosing effects upon them.


Copyright © 1951, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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