A Case of Pulmonary Sequestration Infected by Mycobacterium tuberculosis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 79-83, 2011.
Article
in Korean
| WPRIM
| ID: wpr-178816
ABSTRACT
Pulmonary sequestration is a rare anomaly, in which a local area of a lung is supplied separately by an anomalous artery that arises from the aorta or one of its branches. Infection, mainly bacterial, is a major complication of sequestration. We report the case of a 17-year-old male patient, who presented with cough and fever. The contrast-enhanced chest computer tomomgraphy (CT) scans revealed an aberrant artery that originated from the descending thoracic aorta. He underwent a left-lower lobectomy. Macroscopically, the abnormal segment presented as multiple heterogenous cystic and solid lesions, and the cysts were filled with mucoid and pus-like material. Histology showed that the pulmonary parenchyma had been replaced by caseating epitheloid granulomas. The mycobacterial culture of his sputum was positive. On the basis of these results, the diagnosis of tuberculosis was established. The patient was treated with anti-tuberculous medication for 6 months, and 1 year later, his clinical status remained excellent.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Aorta, Thoracic
/
Arteries
/
Sputum
/
Thorax
/
Tuberculosis
/
Bronchopulmonary Sequestration
/
Cough
/
Fever
/
Granuloma
Limits:
Adolescent
/
Humans
/
Male
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2011
Type:
Article
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