Tanie Tomoki, Shirasawa Yuji, Shinozawa Saeko, Kamata Yuki, Hirano Kenji
Dept. of Respiratory Medicine, Japan Community Health care Organization Tokyo Takanawa Hospital.
Gan To Kagaku Ryoho. 2024 Jun;51(6):655-657.
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).
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）。
