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- Kobashi Yoshihiro
- Department of Respiratory Medicine, Kawasaki Medical School, Japan
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- Mouri Keiji
- Department of Respiratory Medicine, Kawasaki Medical School, Japan
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- Obase Yasushi
- Department of Respiratory Medicine, Kawasaki Medical School, Japan
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- Kato Shigeki
- Department of Respiratory Medicine, Kawasaki Medical School, Japan
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- Nakata Masao
- Department of Thoracic Surgery, Kawasaki Medical School, Japan
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- Oka Mikio
- Department of Respiratory Medicine, Kawasaki Medical School, Japan
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抄録
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.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (13), 1537-1540, 2013
一般社団法人 日本内科学会