抗生素联合手术肺切除治疗乳腺癌患者肺部感染

Tokuyasu Hirokazu, Makino Yoshinari, Kubouchi Yasuaki, Miwa Ken, Miura Hiroshi, Ishikawa Soichiro, Sakai Hiromitsu, Yamasaki Akira

Division of Respiratory Medicine, Matsue Red Cross Hospital, Shimane, Japan.

Division of Breast Surgery, Matsue Red Cross Hospital, Shimane, Japan.

Respir Med Case Rep. 2021 Sep 3;34:101506. doi: 10.1016/j.rmcr.2021.101506. eCollection 2021.

A 51-year-old woman was admitted to our hospital because of pneumonia after chemotherapy with doxorubicin and cyclophosphamide for left breast cancer. The patient was diagnosed with pulmonary infection by the detection of complex (MABC) in sputum cultures. However, MABC is intrinsically resistant to most of the antibacterial agents, and MABC pulmonary disease outcomes with modern antibiotic treatment are currently the worst among all mycobacterial species. We herein report the successful treatment of pulmonary infection by a combination treatment with antibiotics and surgical lung resection.

一名51岁女性因左乳腺癌接受阿霉素和环磷酰胺化疗后发生肺炎而入住我院。通过痰培养检测到复杂性非结核分枝杆菌（MABC），该患者被诊断为肺部感染。然而，MABC对大多数抗菌药物具有内在抗性，并且在现代抗生素治疗下，MABC肺部疾病的预后目前在所有分枝杆菌种类中是最差的。我们在此报告通过抗生素联合手术肺切除成功治疗肺部感染的病例。