Chronic Necrotizing Pulmonary Aspergillosis Complicated by a Cavitary Lesion Caused by Pulmonary Mycobacterium-avium Complex Disease
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概要
- 論文の詳細を見る
A 66-year-old woman who had undergone one year′s treatment for pulmonary nontuberculous mycobacterial disease due to Mycobacterium avium (rifampicin, ethambutol, clarithromycin, streptomycin→levofloxacin) five years earlier was admitted to our hospital because of continuous fever and a newly detected abnormal chest shadow, which was like a fungus ball in the right upper lobe on chest computed tomography in the giant cavitary lesion caused by pulmonary Mycobacterium-avium complex (MAC) disease. A diagnosis of chronic necrotizing pulmonary aspergillosis (CNPA) complicated by pulmonary MAC disease was made because Aspergillus niger was isolated from several sputum specimens, anti-aspergillus antibody was positive, and clinical symptoms such as fever, were disclosed with the radiological finding of a fungus ball-like shadow and an infiltration shadow around the cavity. The patient had received various forms of antifungal chemotherapy, but the clinical effect had been poor. Since then, she had been slowly worsening. Although mycetomas, with the typical appearance of a fungus ball on a chest radiograph, have been reported to easily form in cavitary lesions caused by previous pulmonary tuberculosis, we believe, as illustrated by the present case, that they could also form in such lesions caused by pulmonary MAC disease, since the frequency of pulmonary nontuberculous mycobacterial disease has recently been increasing in comparison with that of pulmonary tuberculosis.
- 社団法人 日本内科学会の論文
- 2005-03-01
著者
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二木 芳人
川崎医科大学呼吸器内科
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Matsushima Toshiharu
昭和大学 医学部臨床感染症学
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Matsushima Toshiharu
東北大学加齢医学研究所 抗感染症薬開発研究部門
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Niki Yoshihito
昭和大学 医学部臨床感染症学
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Niki Y
Showa University School Of Medicine Department Of Clinical Infectious Diseases
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Yoshihito Niki
Department Of Respiratory And Internal Medicine Kawasaki Medical School
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Niki Yoshihito
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Kobashi Yoshihiro
川崎医科大学 医学部内科学(呼吸)
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Niki Yoshihito
Showa University School Of Medicine Department Of Clinical Infectious Diseases
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Kubota Y
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Yoshida Kouichirou
昭和大学 医学部臨床感染症学
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MIYASHITA Naoyuki
Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
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MATSUSHIMA Toshiharu
Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
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Niki Yoshihito
Department Of Respiratory And Internal Medicine Kawasaki Medical School
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Manabe Takao
大阪市立総合医療センター
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Matsushima T
Division Of Respiratory Diseases Department Of Medicine Kurashiki Daiichi Hospital
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Kobashi Yoshihiro
Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
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MATSUSHIMA Toshiharu
Junpukai Kurashiki Daiichi Hospital
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YOSHIDA Kouichiro
Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
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Kobashi Yoshihiro
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Miyashita Naoyuki
Division Of Respiratory Diseases Department Of Internal Medicine
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Matsushima Toshiharu
Division Of Arespiratory Diseases Department Of Medicine Kawasaki Medical School
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Matsushima Toshiharu
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Takashima M
Japan Collection Of Microorganisms Riken (the Institute Of Physical And Chemical Research)
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Yoshida Koichiro
Department Of Clinical Infectious Diseases School Of Medicine Showa University
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Manabe T
Osaka City General Hospital
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Miyashita Naoyuki
Department Of Respiratory Diseases Kawasaki Medical School
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Miyashita Naoyuki
Department Of Respiratory Medicine Kawasaki Medical School
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Kobashi Yoshihiro
Division Of Respiratory Disease Department Of Medicine Kawasaki Medical School
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Kobashi Yoshihiro
The Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School Kawasaki Hospita
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Niki Yoshihito
Division Of Clinical Infectious Diseases Department Of Internal Medicine Showa University School Of Medicine
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Yoshida Kouichirou
Division Of The Respiratory Diseases The Department Of Medicine Kawasaki Medical School
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Miyashita Naoyuki
Division of Respiratory Disease, Department of Medicine, Kawasaki Medical School, Japan
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