Korean J Intern Med.
2013 Jan;28(1):94-97. 10.3904/kjim.2013.28.1.94.
Mycobacterium avium lung disease combined with a bronchogenic cyst in an immunocompetent young adult
- Affiliations
-
- 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. wjkoh@skku.edu
- 2Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea.
- KMID: 1793224
- DOI: http://doi.org/10.3904/kjim.2013.28.1.94
Abstract
- We report a very rare case of a bronchogenic cyst combined with nontuberculous mycobacterial pulmonary disease in an immunocompetent patient. A 21-year-old male was referred to our institution because of a cough, fever, and worsening of abnormalities on his chest radiograph, despite anti-tuberculosis treatment. Computed tomography of the chest showed a large multi-cystic mass over the right-upper lobe. Pathological examination of the excised lobe showed a bronchogenic cyst combined with a destructive cavitary lesion with granulomatous inflammation. Microbiological culture of sputum and lung tissue yielded Mycobacterium avium. The patient was administered anti-mycobacterial treatment that included clarithromycin.
MeSH Terms
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Anti-Bacterial Agents/therapeutic use
Biopsy
Bronchogenic Cyst/*complications/diagnosis/immunology/surgery
Humans
*Immunocompetence
Male
Mycobacterium avium Complex/*isolation & purification
Mycobacterium avium-intracellulare Infection/*complications/diagnosis/drug therapy/immunology/microbiology
Pneumonectomy
Respiratory Tract Infections/*complications/diagnosis/drug therapy/immunology/microbiology
Sputum/microbiology
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Anti-Bacterial Agents
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