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医源性气胸后肺部疾病进展为胸膜炎:一例报告

Pulmonary Disease Progressed to Pleuritis after Iatrogenic Pneumothorax: A Case Report.

作者信息

Taoka Takashige, Shinohara Tsutomu, Hatakeyama Nobuo, Iwamura Sachiko, Murase Yoshiro, Mitarai Satoshi, Ogushi Fumitaka

机构信息

Division of Pulmonary Medicine, National Hospital Organization Kochi Hospital, 1-2-25 Asakuranishimachi, Kochi 780-8077, Japan.

Department of Clinical Investigation, National Hospital Organization Kochi Hospital, 1-2-25 Asakuranishimachi, Kochi 780-8077, Japan.

出版信息

J Clin Tuberc Other Mycobact Dis. 2020 Apr 21;19:100160. doi: 10.1016/j.jctube.2020.100160. eCollection 2020 May.

Abstract

is a newly identified nontuberculous mycobacteria (NTM) and its gene sequence of 16S rRNA shows high homology to that of . We present a case of pulmonary disease progressed to pleuritis after iatrogenic pneumothorax. The patient was initially diagnosed as tuberculosis based on a positive result for the 16S rRNA of an identification kit using scrapings from the cavitary nodule. We need to bear in mind that pneumothorax following bronchoscopy may induce NTM pleuritis and infection should be considered in the differential diagnosis of mycobacterial pulmonary disease with effusion.

摘要

是一种新发现的非结核分枝杆菌(NTM),其16S rRNA基因序列与 的基因序列具有高度同源性。我们报告一例医源性气胸后肺部疾病进展为胸膜炎的病例。患者最初根据使用空洞结节刮片的 鉴定试剂盒16S rRNA检测结果呈阳性而被诊断为肺结核。我们需要牢记,支气管镜检查后气胸可能诱发NTM胸膜炎,在伴有胸腔积液的分枝杆菌性肺病鉴别诊断中应考虑 感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebdf/7191214/93c7553a7e8f/gr1.jpg

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