Mycobacterium avium lung disease combined with a bronchogenic cyst in an immunocompetent young adult.
10.3904/kjim.2013.28.1.94
- Author:
Yong Soo KWON
1
;
Joungho HAN
;
Ki Hwan JUNG
;
Je Hyeong KIM
;
Won Jung KOH
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. wjkoh@skku.edu
- Publication Type:Case Reports
- Keywords:
Nontuberculous mycobacteria;
Bronchogenic cyst;
Mycobacterium avium complex
- MeSH:
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
- From:The Korean Journal of Internal Medicine
2013;28(1):94-97
- CountryRepublic of Korea
- Language:English
-
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.
