Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan.
Department of Respiratory Medicine, Nerima Hikarigaoka Hospital, Japan.
Intern Med. 2024 Apr 1;63(7):989-992. doi: 10.2169/internalmedicine.2199-23. Epub 2023 Aug 9.
Nontuberculous mycobacterial (NTM) infection sometimes leads to the development of pulmonary artery aneurysm (PAA), a rare but life-threatening complication. We herein report a 64-year-old woman with a history of NTM infection who presented with severe hemoptysis. Computed tomography revealed a ruptured PAA, which was treated successfully with pulmonary artery embolization. Subsequent right total pneumonectomy was performed to control infection. This case emphasizes the need to consider PAA in patients with NTM infection who present with hemoptysis. Early detection and appropriate management are critical for preventing this fatal complication.
非结核分枝杆菌(NTM)感染有时可导致肺动脉瘤(PAA)的发生,这是一种罕见但危及生命的并发症。本病例报告了一位 64 岁的女性,有 NTM 感染史,因严重咯血就诊。计算机断层扫描显示破裂的 PAA,经肺动脉栓塞治疗成功。随后进行了右全肺切除术以控制感染。该病例强调了在出现咯血的 NTM 感染患者中应考虑 PAA 的可能性。早期发现和适当的治疗对于预防这种致命并发症至关重要。