Cavitary Pulmonary Infection With Mycobacterium avium Observed by Bronchoscopy

被引：2

作者：

Uruga, Hironori ^{[1
,4
]}

Suzuki, Aika ^{[1
]}

Hanada, Shigeo ^{[1
]}

Takaya, Hisashi ^{[1
]}

Miyamoto, Atsushi ^{[1
]}

Morokawa, Nasa ^{[1
]}

Fujii, Takeshi ^{[2
,4
]}

Kurosaki, Atsuko ^{[3
]}

Kishi, Kazuma ^{[1
,4
]}

机构：

[1] Toranomon Gen Hosp, Dept Resp Med, Resp Ctr, Tokyo, Japan

[2] Toranomon Gen Hosp, Dept Pathol, Tokyo, Japan

[3] Toranomon Gen Hosp, Dept Diagnost Radiol, Tokyo, Japan

[4] Okinaka Mem Inst Med Res, Tokyo, Japan

来源：

JOURNAL OF BRONCHOLOGY & INTERVENTIONAL PULMONOLOGY | 2012年 / 19卷 / 04期

关键词：

Mycobacterium avium; bronchoscopy; cavity;

D O I：

10.1097/LBR.0b013e31826b36c2

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

A 58-year-old man was admitted to our hospital because of fever and loss of appetite. He had undergone surgery for esophageal cancer. A chest radiography 12 years after the surgery revealed cavitary lesions in the right upper lobe of the lung. The patient was then diagnosed as having Mycobacterium avium infection. The cavitary lesions worsened 2 years after clarithromycin monotherapy. Bronchoscopy was performed to observe the interior of the cavity. Gray debris adhering to the cavitary wall decreased after intensive treatment with Streptomycin, rifabutin, levofloxacin, and ethambutol. This is a rare case in which treatment efficacy of M. avium infection was directly observed by serial bronchoscopy.

引用

页码：332 / 335

页数：4

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