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免疫功能正常患者无肺部疾病的非结核分枝杆菌性脓胸:病例报告。

Thoracic empyema due to nontuberculous mycobacteria in an immunocompetent patient without pulmonary disease: a case report.

机构信息

Department of Respiratory and Critical Care Medicine, University-Town Hospital of Chongqing Medical University, Chongqing, 401331, People's Republic of China.

出版信息

BMC Pulm Med. 2023 Jun 19;23(1):215. doi: 10.1186/s12890-023-02494-5.

Abstract

BACKGROUND

Pleural involvement by non-tuberculous mycobacteria (NTM), especially NTM empyema in the immunocompetent patient without pulmonary diseases is a rare disease. It is difficult to diagnose with only a few cases of immunodeficient patients in the literature.

CASE PRESENTATION

We describe a 63-year-old male with empyema due to NTM and highlight the challenges of diagnosis.

CONCLUSIONS

Non-tuberculous mycobacterial infection should be considered as a cause of pleuritis or empyema without pulmonary disease, however it is a real diagnostic dilemma.

摘要

背景

非结核分枝杆菌(NTM)累及胸膜,尤其是免疫功能正常的患者无肺部疾病的 NTM 脓胸,是一种罕见疾病。文献中仅有少数免疫功能低下患者的病例,因此难以诊断。

病例介绍

我们描述了一例 63 岁男性因 NTM 导致脓胸的病例,并强调了诊断的挑战。

结论

无肺部疾病的胸膜炎或脓胸,如果没有其他原因,应考虑非结核分枝杆菌感染,然而这确实是一个诊断难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b339/10278247/5b2afce95ec6/12890_2023_2494_Fig1_HTML.jpg

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