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长双歧杆菌和韦荣球菌属引起的支气管周围结缔组织感染，模拟肺癌。

Peribronchial Connective Tissue Infection Caused by Bifidobacterium longum and Veillonella Species Mimicking Lung Cancer.

机构信息

Department of Respiratory Medicine, Chiba Aoba Municipal Hospital, Japan.

Department of Laboratory Medicine, Chiba Aoba Municipal Hospital, Japan.

出版信息

Intern Med. 2021 Feb 1;60(3):453-456. doi: 10.2169/internalmedicine.5120-20. Epub 2020 Sep 19.

DOI:10.2169/internalmedicine.5120-20
PMID:32963153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7925290/
Abstract

An 86-year-old woman was admitted for the investigation of atelectasis of the upper lobe of her right lung with a mass shadow in the hilum (Golden S sign). Chest computed tomography revealed swollen connective tissue around the right bronchus, and needle aspirate grew Bifidobacterium longum and Veillonella species. She was diagnosed with peribronchial connective tissue infection, and her condition improved with antibiotics. Although this sign is strongly suggestive of malignant disease, benign disease should be considered in the differential diagnosis. Pulmonary infection caused by Bifidobacterium longum is extremely rare; however, clinicians should consider it as a possible cause of pulmonary infections.

摘要

一位 86 岁女性因右上肺叶不张伴肺门肿块影（“Golden S 征”）入院检查。胸部 CT 显示右支气管周围结缔组织肿胀，针吸活检培养出长双歧杆菌和韦荣球菌。诊断为支气管周围结缔组织感染，经抗生素治疗后病情改善。尽管该征象强烈提示恶性疾病，但在鉴别诊断中仍需考虑良性疾病。长双歧杆菌引起的肺部感染极为罕见；然而，临床医生应将其视为肺部感染的可能病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/6f037c5b89d3/1349-7235-60-0453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/d7434a4e5b8e/1349-7235-60-0453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/e17718d18f7d/1349-7235-60-0453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/9023c172bc07/1349-7235-60-0453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/6f037c5b89d3/1349-7235-60-0453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/d7434a4e5b8e/1349-7235-60-0453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/e17718d18f7d/1349-7235-60-0453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/9023c172bc07/1349-7235-60-0453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c3/7925290/6f037c5b89d3/1349-7235-60-0453-g004.jpg

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