Kobayashi Haruki, Taira Tetsuhiko, Wakuda Kazushige, Takahashi Toshiaki, Endo Masahiro
Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Division of Diagnostic Radiology, Shizuoka Cancer Center, Shizuoka, Japan.
Respir Med Case Rep. 2016 Jul 17;19:54-7. doi: 10.1016/j.rmcr.2016.07.006. eCollection 2016.
An 80-year-old Japanese woman with wet cough and dyspnea was diagnosed with pneumonia at a clinic. Antibiotics did not improve her symptoms; therefore, she was referred to our hospital one month after symptom onset. Chest radiograph findings revealed complete collapse of the left lung. Bronchoscopy showed white mucus plug in the left main bronchus, which could not be removed. She was initially treated with bromhexine. Subsequently, culture results of the mucus plug specimen obtained during bronchoscopy yielded Schizophyllum commune. After three weeks, improvement of the collapsed lung was observed on chest radiograph.
一名80岁的日本女性，伴有湿性咳嗽和呼吸困难，在一家诊所被诊断为肺炎。使用抗生素后症状未改善；因此，症状出现一个月后她被转诊至我院。胸部X光片检查结果显示左肺完全萎陷。支气管镜检查显示左主支气管内有白色黏液栓，无法取出。她最初接受了溴己新治疗。随后，支气管镜检查期间获取的黏液栓标本培养结果显示为裂褶菌。三周后，胸部X光片显示萎陷的肺有所改善。
