Yamazaki A, Masuda S, Tahara M
Second Department of Surgery, Tokyo Teishin Hospital, Japan.
Nihon Kokyuki Gakkai Zasshi. 1998 Dec;36(12):1062-5.
The patient was a 49-year-old man. A physical examination in 1995 had disclosed the presence of a bulla in his left lung. Chest x-ray films taken in February 1997 disclosed niveau formation as an abnormal shadow in contact with the bulla. The patient was given a diagnosis of an infected bulla, and underwent an operation for partial resection of the S 6 portion of the left lung. The intracystic fluid was serous and no general bacteria or mycobacteria were detected. However, histopathological examination found granulation tissue associated with caseous necrosis and containing mycobacteria. The patient is currently receiving tuberculostatic agents on an outpatient basis.
患者为一名49岁男性。1995年的体格检查发现其左肺有一个肺大疱。1997年2月拍摄的胸部X光片显示，与肺大疱接触处有一个呈水平状的异常阴影，诊断为感染性肺大疱。患者接受了左肺S6段部分切除术。囊内液体为浆液性，未检测到普通细菌或分枝杆菌。然而，组织病理学检查发现有与干酪样坏死相关且含有分枝杆菌的肉芽组织。该患者目前正在门诊接受抗结核药物治疗。
