Sugino Keishi, Kobayashi Minaho, Iwata Motohide, Gocho Kyoko, Kaburaki Kyohei, Muramatsu Yoko, Ishida Fumiaki, Miyazaki Taito, Sato Daisuke, Sakaguchi Shinji, Sano Go, Kusano Emiko, Isobe Kazutoshi, Sakamoto Susumu, Takai Yujiro, Shibuya Kazutoshi, Takagi Keigo, Homma Sakae
Department of Respiratory Medicine, Toho University Omori Medical Center, Tokyo.
Intern Med. 2009;48(6):459-63. doi: 10.2169/internalmedicine.48.1763. Epub 2009 Mar 16.
We report a case of pulmonary Mycobacterium abscessus (M. abscessus) infection with destructive growth in the entire right lung. The patient was 56-year-old woman who had had pulmonary tuberculosis at the age of 40 and had been diagnosed as having pulmonary Mycobacterium abscessus infection 4 years prior to admission at our hospital. Although various antibiotics were administered, persistent fever, hemoptysis and weight loss developed. After undergoing a right pneumonectomy, her clinical symptoms improved dramatically and sputum excretions of M. abscessus ceased. No relapse of the disease has been observed in the 2 years since surgery. Pneumonectomy was very effective for refractory M. abscessus infection that destroyed the right lung.
我们报告一例右肺全肺出现破坏性生长的肺脓肿分枝杆菌（M. abscessus）感染病例。患者为一名56岁女性，40岁时曾患肺结核，入院前4年被诊断为肺脓肿分枝杆菌感染。尽管使用了各种抗生素，但仍持续发热、咯血和体重减轻。行右肺切除术后，她的临床症状显著改善，脓肿分枝杆菌痰排停止。术后2年未观察到疾病复发。肺切除术对破坏右肺的难治性脓肿分枝杆菌感染非常有效。
