Non-tuberculous Mycobacterial Lung Disease Presenting as a Solitary Pulmonary Nodule / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 43-47, 2010.
Article
in Korean
| WPRIM
| ID: wpr-129610
ABSTRACT
We report a case of Mycobacterium intracellulare pulmonary infection presenting as a solitary pulmonary nodule (SPN). A 35-year-old male was admitted due to a SPN in the right upper lobe which was detected on the chest radiography being examed due to recurrent cough for 1 year. The computed tomography (CT) revealed a spiculated nodule containing air-bronchogram, which was suspicious of malignancy. We performed transbronchial biopsy and the pathology showed granulomatous inflammation with caseous necrosis. Under the presumptive diagnosis of pulmonary tuberculosis, we started anti-tuberculous medication including isoniazid, rifampin, ethambutol, and pyrazinamide. In one month, however, the sputum culture was positive for Mycobacterium intracellulare. The follow-up chest CT showed slight aggravation of the previous lesions. Under the final diagnosis of Mycobacterium intracellulare pulmonary infection presenting as a solitary pulmonary nodule, we changed the regimen to rifampin, ethambutol, and clarithromycin. The follow-up chest CT after the completion of treatment, revealed resolution of the previous lesions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyrazinamide
/
Rifampin
/
Sputum
/
Thorax
/
Tuberculosis
/
Tuberculosis, Pulmonary
/
Biopsy
/
Mycobacterium avium Complex
/
Follow-Up Studies
/
Clarithromycin
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2010
Type:
Article
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