Kaur Jasleen, McDonald Philip J, Bhanot Ravinder D, Awali Reda A, Dhar Sorabh, Rowley James
Department of Internal Medicine, Wayne State University, Detroit, MI, USA.
Division of Infectious Diseases, Department of Internal Medicine, Wayne State University, Detroit, MI, USA.
Case Rep Pulmonol. 2018 May 9;2018:9121389. doi: 10.1155/2018/9121389. eCollection 2018.
Bronchogenic cysts are rare congenital malformations which arise from abnormal budding of the primitive tracheobronchial tube and can localize to either the mediastinum or lung parenchyma. They remain clinically silent in most adults unless they become infected or are large enough to compress adjacent structures. Infections involving bronchogenic cysts are often polymicrobial. Gram-positive, Gram-negative, and mycobacterial infections have been reported, though frequently a pathogen is not identified. We present the case of a 46-year-old female with known history of bronchogenic cyst who presented with suspected postobstructive pneumonia. She underwent cyst excision with culture positive for , an extremely rare finding on review of the literature. The patient recovered following a three-week course of antibiotics for extraintestinal salmonellosis.
支气管源性囊肿是罕见的先天性畸形,由原始气管支气管管异常芽生形成,可位于纵隔或肺实质。在大多数成年人中,它们在临床上没有症状,除非发生感染或大到足以压迫邻近结构。涉及支气管源性囊肿的感染通常是多微生物的。尽管经常无法鉴定出病原体,但已报道有革兰氏阳性、革兰氏阴性和分枝杆菌感染。我们报告一例46岁女性病例,该患者有支气管源性囊肿病史,表现为疑似阻塞性肺炎。她接受了囊肿切除术,培养结果显示为 ,这在文献回顾中是极为罕见的发现。患者在接受为期三周的治疗肠外沙门氏菌病的抗生素疗程后康复。