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[一例合并导管内乳头状黏液性肿瘤的肺非结核分枝杆菌感染病例]

[A Case of Pulmonary Nontuberculous Mycobacterial Infection Accompanied with Intraductal Papillary Mucinous Neoplasm].

作者信息

Tanie Tomoki, Shirasawa Yuji, Shinozawa Saeko, Kamata Yuki, Hirano Kenji

机构信息

Dept. of Respiratory Medicine, Japan Community Health care Organization Tokyo Takanawa Hospital.

出版信息

Gan To Kagaku Ryoho. 2024 Jun;51(6):655-657.

Abstract

An 87-year-old woman presented to the emergency department with left thigh pain, and sciatic nerve pain was diagnosed. A chest CT scan showed bronchiectasis and tree-in buds and an acid-fast stain test of gastric juice was positive; further, M. avium-PCR of sputum and culture results were positive leading to a diagnosis of pulmonary nontuberculous mycobacterial infection(NTM). Abdominal CT showed dilatation of the main pancreatic duct and a multifocal cystic tumor in the pancreatic tail, which was found to be complicated with an intraductal papillary mucinous tumor(IPMN).

摘要

一名87岁女性因左大腿疼痛就诊于急诊科,被诊断为坐骨神经痛。胸部CT扫描显示支气管扩张和树芽征,胃液抗酸染色试验呈阳性;此外,痰液的鸟分枝杆菌聚合酶链反应(M. avium-PCR)和培养结果均为阳性,从而诊断为肺部非结核分枝杆菌感染(NTM)。腹部CT显示主胰管扩张,胰尾有一个多灶性囊性肿瘤,经检查发现合并导管内乳头状黏液性肿瘤(IPMN)。

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