Sugiyama Tomoshi, Kawaguchi Koji, Usami Noriyasu, Yokoi Kohei
Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Department of Thoracic Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan.
Gen Thorac Cardiovasc Surg. 2017 Jul;65(7):418-421. doi: 10.1007/s11748-016-0723-3. Epub 2016 Oct 21.
We herein describe a surgical case of pulmonary involvement in Takayasu's arteritis with pulmonary infections of nontuberculous mycobacteria. A 24-year-old female was admitted to our hospital because of a recurrent fever, and contrast-enhanced computed tomography of the chest revealed the occlusion of the right pulmonary artery and cavitary lesions in the right lower lobe of the lung. A further examination of the neck revealed the occlusion of aortic branches, and the patient was diagnosed with Takayasu's arteritis. The cavitary lesions were diagnosed as nontuberculous mycobacteria disease according to the sputum culture result of Mycobacterium intracellulare. After antibiotic treatment for 6 months, the right pneumonectomy was performed with a good result. We should be aware of Takayasu's arteritis as a disease which can lead to the development of unexplained respiratory symptoms due to pulmonary artery involvement in young adults.
我们在此描述一例大动脉炎累及肺部并伴有非结核分枝杆菌肺部感染的外科病例。一名24岁女性因反复发热入院，胸部增强计算机断层扫描显示右肺动脉闭塞及右肺下叶有空洞性病变。进一步检查颈部发现主动脉分支闭塞，该患者被诊断为大动脉炎。根据胞内分枝杆菌的痰培养结果，空洞性病变被诊断为非结核分枝杆菌病。经过6个月的抗生素治疗后，进行了右肺切除术，效果良好。我们应该认识到大动脉炎这种疾病，它可导致年轻人因肺动脉受累而出现不明原因的呼吸道症状。
