Namba Y, Mihara N, Tanaka M
Department of Pulmonary Medicine, Toride Kyodo General Hospital, Ibaraki, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Sep;35(9):969-73.
A 56-year-old man was admitted to our hospital because of hemoptysis, and dyspnea. Breathing sounds decreased and rhonchi was audible in the right lung. Chest X-ray and Chest CT showed infiltrative shadows in the bilateral lower lobes. He was intubated and bronchofiberscopy revealed mucosal necrosis and hemorrhage of the lower trachea and the bilateral bronchi. MRSA was isolated from sputum and bronchial lavage fluids. He was diagnosed as NTB caused by MRSA. On the 7th day in hospital, he suffocated by the necrotic tissue and autopsy was performed. NTB is a very uncommon disease in adults, especially ones who are not under mechanical ventilation.
一名56岁男性因咯血和气促入院。右肺呼吸音减弱，可闻及干啰音。胸部X线和胸部CT显示双侧下叶有浸润性阴影。他接受了气管插管，纤维支气管镜检查显示下气管和双侧支气管黏膜坏死及出血。痰和支气管灌洗液中分离出耐甲氧西林金黄色葡萄球菌（MRSA）。他被诊断为由MRSA引起的非结核分枝杆菌（NTB）感染。住院第7天，他因坏死组织窒息死亡，并进行了尸检。NTB在成年人中是一种非常罕见的疾病，尤其是在没有机械通气的人群中。
