Pulmonary Infection of Mycobacterium aviumintracellulare Complex with Simultaneous Organizing Pneumonia
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概要
- 論文の詳細を見る
A 67yearold woman presented highgrade fever and dyspnea. Sputum culture confirmed Mycobacterium aviumintracellulare complex (MAC). Transbronchial lung biopsies revealed organizing pneumonia (OP) that was rapidly improved with corticosteroid. Five months after onset, a nodule emerged in the right lung. Although MAC was confirmed, the lesion was deemed too small to merit antimycobacterial chemotherapy. Four months later, diffuse infiltrates developed on chest Xray. Bronchoalveolar lavage study identified MAC and exhibited OP patterns. We commenced antimycobacterial chemotherapy. The infiltrates almost completely improved within a month without corticosteroid.
著者
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NAGAI Sonoko
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University
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Nagai Sonoko
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
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HIRAI Toyohiro
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University
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Mishima Michiaki
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
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Hirai Toyohiro
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
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Hamada Kunio
Division of Internal Medicine, Chitose City Hospital
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Hara Yoshikazu
Department of Respiratory Diseases, Hyogo Prefectural Tsukaguchi Hospital
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