Department of Thoracic Surgery, Tartu University Hospital, Tartu, Estonia.
Department of Pathology, Tartu University Hospital, Tartu, Estonia.
Ann Thorac Surg. 2018 Aug;106(2):e77-e79. doi: 10.1016/j.athoracsur.2018.02.072. Epub 2018 Mar 31.
Mediastinal lymphadenopathy is common finding in thoracic surgery, and it often requires morphologic confirmation to establish the definitive diagnosis. The most frequent diagnoses are metastatic lung cancer, sarcoidosis, lymphoma, tuberculosis, and other causes of granulomatous infections. Rhodococcus equi is a rare pathogen in humans that mostly affects immunocompromised patients. This report presents a case with isolated mediastinal lymphadenopathy caused by Rhodococcus equi infection in a 71-year-old immunocompetent patient.
纵隔淋巴结病是胸外科常见的发现，通常需要形态学确认来建立明确的诊断。最常见的诊断是转移性肺癌、结节病、淋巴瘤、结核病和其他原因引起的肉芽肿性感染。马红球菌是一种人类罕见的病原体，主要影响免疫功能低下的患者。本报告介绍了一例 71 岁免疫功能正常患者由马红球菌感染引起的孤立性纵隔淋巴结病。
