著者

河本 徹夫 市山 晴子

出版者

一般社団法人 日本結核病学会

雑誌

結核 (ISSN:00229776)

巻号頁・発行日

vol.16, no.1, pp.1-6, 1938

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Dr. Keijiro Kogami and his coworkers had published the results of the complementfixation test with their S. T. Antigen in 1330 cases of tuberculous diseases already in this Journal No.1, 1936. Our results of the complement-fixation test with the S. T. Antigen in 600 cases were briefly as follows:<BR>(1) We have obtained in 200 cases of tu b erculous sera 89.5% of positive reactor, and at the same time we experimented about the red-cell sedimentation test in 131 cases parallelly. There were no definite relations between the results of complement-fixation and sedimentation test only without in exception of the fact that the degree of both reactions were encountered parallelly to a certain extent.<BR>(2) To say the positive percentage in 193 case s of pulmonary tuberculosis from a point of view of the form of diseases the complement-fixation tests resulted in productive forms at most highest percent and the next in mixed forms finally in exsudative forms at the lowest.<BR>(3) In 81 cases of pulmonary tuberculosis which were proved the tubercle bacilli to be positively the complement-fixation test also happened in 96% positively, and thus we can say generally that the positive percentages schall be more higher in open tuberculosis than in closed ones.<BR>(4) In the cases o f Doctors, nurses and attendants who have many oppotunities of approaching tuberculous patients, the complement-fixation test resulted in 18 out of 60 cases while, on the contrary, in the same cases the Mantoux's reaction in 93% (56cases) positively. In cases of the sera which proved the Mantoux's reaction were negatively, we found the complement-fixation test also negatively.<BR>(5) In 340 cases of the so-called healthy individu a ls in simple appearances in certain provincial factorial girls of an age from 16 to 20 years old the complement-fixation test happened in 26% positively. The facts that the factorial girls of those ages have the most highest rate of contracting some tuberculous diseases already generally known.<BR>(6) The complement-fixing ambozeptors in tuberculous sera can be perfectly absorb e d with the dried powder of S. T. Bacilli. (One of a modificated tubercle bacilli already published in this Journal No.1, 1936 by K. Kogami and his coworkers). By this method we can plainly differentiate the double infections with syphilis and tuberculosis.<BR>(7) In 25 cases of non-tuberculous diseases such as: - 2Croppy pneumonia 3, pulmonary abscess 2, heartfailure 2, nephritis 2, nephrosis 3, contracted kidney 3, Cancer of the stomach 2, gastric ulcer 1, acute Appendicitis 1, acute enteritis 1, Beri-beri 3, acute articular rheumatism 1, Parkinson's disease 1, the complement-fixation test resulted only in one of two cases of heartfailurs positively, but we could prove in this case the existence of the pure and specificial tuberculous complement-fixing ambozeptors in the sera which could be excluded by Kogami's dried powder of S. T. bacilli perfectly.