Guichenez P, Bour G, Chaussinand J P, Vergnon J M
Service de Mécine Interne, CHG 42600 Montbrison.
Rev Pneumol Clin. 1995;51(4):250-2.
Infection and cancer are two classical complications of bullous emphysema. We report the case of a 47-year-old patient who presented a tuberculous infection then cancer within less than one year interval. The questions concerning diagnosis of infection are discussed. Pyogenic germs are usually involved and tuberculosis much less often. Exceptionally atypical mycobacteria, notably xenopi, are rarely the cause. The diagnosis can be particularly difficult in case of haemorrhage or cancer on bullae. The diagnosis of cancer in bullous emphysema is also studied. The relationships between tuberculosis and cancer in bullous emphysema are discussed.
感染和癌症是大疱性肺气肿的两种典型并发症。我们报告了一例47岁患者的病例,该患者在不到一年的时间间隔内先后出现了结核感染和癌症。文中讨论了有关感染诊断的问题。通常涉及化脓性病菌,而结核则少见得多。极个别情况下,非典型分枝杆菌,尤其是偶发分枝杆菌,很少是病因。在大疱出现出血或癌症的情况下,诊断可能特别困难。文中还研究了大疱性肺气肿中癌症的诊断。讨论了大疱性肺气肿中结核与癌症之间的关系。