Chronic Thromboembolic Pulmonary Hypertension Complicated by a Cavitating Lung Infection Caused by Mycobacterium intracellulare

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概要

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• A 35-year-old man with a six-month history of progressive exertional dyspnea was referred to our institution. He had been diagnosed with Mycobacterium intracellulare pulmonary infection with lung cavitation two years earlier, and was being followed up without any medications. After being referred to our hospital, he underwent computed tomographic pulmonary angiography, which indicated a pulmonary thrombus and lung cavitation. Furthermore, right heart catheterization confirmed pulmonary hypertension, and we made a diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH). Following successful pulmonary endarterectomy, the patient's symptoms and hemodynamics were significantly improved, with the disappearance of lung cavitation. It is important to suspect CTEPH in patients with unaccountable infectious lung cavities.

• 一般社団法人 日本内科学会の論文

著者

• Masuda Kimihiko

  Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan

• Akagawa Shinobu

  Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan

• MATSUI Hirotoshi

  Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital

• NAGAI Hideaki

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital

• Ohta Ken

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

• Tamura Atsuhisa

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

• Okuda Kenichi

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

• Suzuki Junko

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

• Ohshima Nobuharu

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

• Yamane Akira

  Center for Pulmonary Diseases, National Hospital Organization, Tokyo National Hospital, Japan

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• Chronic Thromboembolic Pulmonary Hypertension Complicated by a Cavitating Lung Infection Caused by Mycobacterium intracellulare

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