Mucoid Impaction of the Bronchi Caused by Mycobacterium avium
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概要
- 論文の詳細を見る
A 25-year-old woman with a past history of congenital adrenal cortex hypertrophy visited our hospital complaining of a continuous cough. On chest CT, a localized bronchiectatic lesion was recognized with mucoid impaction in the right lower lobe. Because we obtained a positive smear test for acid-fast bacilli and polymerase chain reaction (PCR) of the bronchoscopic specimens was positive for M. avium, we administered combined chemotherapy; however, the clinical effect was poor and video-assisted thoracoscopic surgery (VATS) was performed. As the histological findings revealed a granuloma with caseating necrosis and mucous plugs containing M. avium in the respiratory bronchioles, we diagnosed the patient with mucoid impaction of the bronchi (MIB) due to M. avium.
著者
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Nakata Masao
Department Of General Thoracic Surgery Kawasaki Medical School
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Kobashi Yoshihiro
Department Of Clinical Infectious Disease Showa University School Of Medicine
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Obase Yasushi
Department of Respiratory Medicine, Kawasaki Medical School
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Mouri Keiji
Department of Respiratory Medicine, Kawasaki Medical School
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Oka Mikio
Department of Life Science and Biotechnology, Faculty of Life and Environmental Science, Shimane University
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Kato Shigeki
Department of Chemistry, College of Arts and Sciences, The University of Tokyo
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Kobashi Yoshihiro
Department of Respiratory Medicine, Kawasaki Medical School, Japan
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