| Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
| 公開日 |
2016-09-24 |
| タイトル |
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タイトル |
A Case of Pneumothorax Complicated by Multiple Large Pulmonary Nodules Due to Mycobacterium Kansasii Infection |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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|
資源タイプ |
departmental bulletin paper |
| 著者 |
MATSUKURA, Satoshi
TAKEDA, Norikazu
MIYATA, Yoshito
FUJISAKI, Kyoko
TADA, Mami
IWASAKI, Takuya
HAYASHI, Makoto
YAMAMOTO, Yoshitaka
YAMASHITA, Jun
HASHIMOTO, Tadanori
KASAHARA, Keita
SAGARA, Hironori
SUZUKI, Takashi
KOKUBU, Fumio
|
| 書誌情報 |
The Showa University journal of medical sciences
巻 27,
号 4,
p. 297-304,
発行日 2015-12
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
We report a rare case of pulmonary infection with Mycobacterium kansasii complicated by pneumothorax and multiple large nodules in both lungs. A 68-year-old man presented with sudden right chest pain and dyspnea. He was diagnosed with pneumothorax on the right side and immediately treated by insertion of a chest tube and drainage. After admission, the pneumothorax was cured, but a high fever continued. A chest x-ray and computed tomography scan showed multiple large nodules with and without cavities in both lungs. We suspected malignant disease, inflammatory granulomatosis, or pneumomycosis and subsequently performed bronchofiberscopy. The results of a transbronchial lung biopsy indicated caceous necrosis surrounded by epithelioid cells, without forming distinct granulomas on histology, and the results of acid-fast bacilli smear tests were positive. Mycobacterium could not be detected by polymerase chain reaction. Because the patient's condition was poor, we started him on anti-Mycobacterium therapy: rifampin, isoniazid, and ethambutol. His condition subsequently improved. Bacterial culture confirmed the presence of M. kansasii, so the antibiotic therapy was continued. The patient's temperature decreased to below 37°C, and the nodules in his lungs reduced in size. In this atypical case of M. kansasii infection, the patient presented with severe symptoms. Bronchofiberscopy enabled prompt diagnosis and early treatment. |
| DOI |
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関連識別子 |
10.15369/sujms.27.297 |
| 出版者 |
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出版者 |
Showa University Society |
| ISSN |
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収録物識別子 |
0915-6380 |
| 著者版フラグ |
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出版タイプ |
VoR |
S27_297.pdf (446.9 kB)
