気管支病変を伴った非結核性抗酸菌症の１例

• 岩嶋 大介

  市立島田市民病院呼吸器科

• 菅沼 秀基

  市立島田市民病院呼吸器科

• 小林 淳

  市立島田市民病院呼吸器科

書誌事項

タイトル別名

• A CASE OF ENDOBRONCHIAL LESION DUE TO INFECTION WITH MYCOBACTERIUM INTRACELLULARE
• ショウレイ ホウコク キカンシ ビョウヘン オ トモナッタ ヒケッカクセイ コウサンキンショウ ノ 1レイ

抄録

A 53-year-old man was hospitalized in April 2001 because of left cervical lymphadenopathy and a mass shadow in the left lingular segment. Bronchoscopy revealed an elevated lesion in the left main bronchus, but a biopsy showed no specific findings. A left cervical lymph node biopsy revealed lymphoid hyperplasia only and no malignancy. After the patient was discharged, bronchial irrigation solution from the left lingular segment was found to be positive for Mycobacterium intracellulare. In July 2001 the shadow in the left lingular segment had worsened, and bronchoscopy was performed again. This revealed ulceration in the left main bronchus and edematous narrowing of the bronchial lumen at the opening of the lingular segment. A granulated lesion accompained by severe inflammation was seen in a biopsied specimen taken from the same site. Bronchial lesion induced by an acid-fast-stain positive nontuberculosis mycobacteria was noted. Treatment with rifampicin (RFP), clarithromycin (CAM), ethambutol (EB), and streptomycin (SM) was started, but a rash most likely caused by RFP developed, and RFP was replaced by ciprofloxacin (CPFX). The treatment was continued and symptoms improved. Since non-tuberculous mycobacteriosis accompanied with bronchial lesions is rare, a case report was made.

収録刊行物

• 結核

  結核 81 (8), 519-523, 2006

  一般社団法人 日本結核病学会

キーワード

• 非結核性抗酸菌症
• マイコバクテリウムイントラセルラレ
• 気管支病変

詳細情報

• CRID: 1390282679976880768
• NII論文ID: 10018335674
• NII書誌ID: AN00073442
• DOI: 10.11400/kekkaku1923.81.519
• ISSN: 18842410
• ISSN: 00229776
• NDL書誌ID: 8066357
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8066357
• Web Site: https://search.jamas.or.jp/link/ui/2006319232
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可