[形成足菌肿的肺诺卡菌病及支气管内息肉样病变]

[Mycetoma-forming pulmonary nocardiosis and endobronchial polypoid lesion].

作者信息

Akagawa S, Hebisawa A, Shishido H, Tamura A, Watanabe H, Sato K, Kurashima A, Mori M, Sagara Y, Fukushima K

机构信息

Department of Pulmonary Medicine, Tokyo National Chest Hospital, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Aug;35(8):878-82.

PMID:9366163

Abstract

A 46-year-old man was admitted to the hospital for evaluation of a dense infiltrative shadow in the right middle lung field. Bronchoscopic examination revealed a polypoid lesion in the right middle-lobe bronchus (Bb11(5)). Examination of a biopsy specimen showed a lump with many Nocardia asteroides bacteria. The response to chemotherapy, which included sulfomethoxazole, was poor, and therefore a right middle lobectomy was done. Three mycetomas were found inside the ectatic bronchi in the S5 area. Pulmonary Nocardia mycetoma is rare.

摘要

一名46岁男性因右中肺野致密浸润影入院评估。支气管镜检查发现右中叶支气管（Bb11(5)）有一息肉样病变。活检标本检查显示有一肿块，内含许多星形诺卡菌。包括磺胺甲恶唑在内的化疗反应不佳，因此进行了右中叶切除术。在S5区扩张的支气管内发现了3个真菌球。肺部诺卡菌性真菌球罕见。