Miyazaki Y, Sakashita H, Tanaka T, Kamei K, Nishimura K, Yoshizawa Y
Internal Medicine, Tokyo Metropolitan Bokutou General Hospital.
Intern Med. 2000 Feb;39(2):160-2. doi: 10.2169/internalmedicine.39.160.
A 51-year-old female was admitted to our hospital because of fever, cough, and hemoptysis. A chest radiograph showed a partial collapse of the left upper division and infected bullae in the left upper lobe. Bronchoscopic examination showed thick mucous plugs in the left upper bronchus. The isolates of the plugs proved to be Schizophyllum commune. Neither accumulation of eosinophils nor Charcot-Leyden crystals were present in the plugs. Mild ectatic changes of the left upper bronchus had been observed 17 years previously. We describe the first case of mucoid impaction, which was independent of the immunological reactions, caused by S. commune in association with bronchiectasis.
一名51岁女性因发热、咳嗽和咯血入院。胸部X线片显示左上肺叶部分肺不张及左上叶感染性肺大疱。支气管镜检查显示左主支气管内有浓稠黏液栓。黏液栓分离出的病原体为裂褶菌。黏液栓中未发现嗜酸性粒细胞聚集或夏科-雷登结晶。17年前曾观察到左上支气管有轻度扩张改变。我们报道了首例由裂褶菌引起的、与支气管扩张相关的、独立于免疫反应的黏液嵌塞病例。
