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A 20-year-old woman was admitted to our hospital because of cough and dyspnea in April 2001 . On admission, laboratory data showed positive inflammatory signs . A chest roentogenogram revealed infiltrated shadow in the bilateral lung fields. Sputum smear examination showed acid-fast bacilli identified as Mycobacterium tuberculosis by DNA-DNA PCR method. Four days after admission , she had an acute respiratory distress syndrome (ARDS) and serious liver dysfunction. Moreover, drug sensitivitydoi:10.11400/kekkaku1923.77.729 fatcat:2zdnud6465a5hp5wbkcbu2shw4