Dhillon S S, Watanakunakorn C
Department of Internal Medicine, St. Elizabeth Health Center, Youngstown, OH 44501-1790, USA.
Clin Infect Dis. 2000 Mar;30(3):572-5. doi: 10.1086/313726.
An 81-year-old woman who presented with middle lobe bronchiectasis and Mycobacterium avium complex infection is described. She had a history of habitual suppression of cough, as in Lady Windermere syndrome. She was thin and had mild kyphoscoliosis but had no history of smoking or connective tissue disease. The middle lobe and lingula are predisposed to chronic inflammation because of their particular anatomic structures. Inability to clear the secretions from the airway due to voluntary cough suppression may predispose to bronchiectasis and M. avium complex infection.
本文描述了一位81岁患有中叶支气管扩张和鸟分枝杆菌复合群感染的女性患者。她有习惯性抑制咳嗽的病史,如同温德米尔夫人综合征。她体型消瘦,有轻度脊柱后凸,但无吸烟史或结缔组织病病史。中叶和舌叶因其特殊的解剖结构易发生慢性炎症。由于主动抑制咳嗽而无法清除气道分泌物可能易导致支气管扩张和鸟分枝杆菌复合群感染。