[A case of pulmonary Mycobacterium avium infection with a rapid-growing solitary node].
A 72-year-old man was admitted to our hospital because of an abnormal shadow on his chest radiograph. Computed tomography revealed a 3 cm solitary nodular opacity in the right S1. Bronchofiberscopy could neither give any specific histological findings nor bacteriological findings. This nodular shadow increased in size to 1.5 times that in the first chest radiograph. In addition, since there was no abnormal finding in the chest radiograph one year before, we performed partial pulmonary resection by video-assisted thoracoscopic surgery, taking into consideration the possibility that the solitary node was malignant. The pathological findings of the resected specimen were an epitheloid cell granuloma with Langhans giant cell and caseous necrosis. We could not detect any acid-fast bacilli or malignant cells. After surgery, M. avium was detected in a 6-week culture of the resected specimen. We treated the patient with RFP, EB and CAM for 6 months. Outpatient follow-up revealed no relapse.
Yamazaki
Y
Y
Respiratory Medicine, Dohoku National Hospital, Hanasakicho-7, Asahikawa, Hokkaido, Japan 070-8644.
Matsumoto
H
H
Ogasa
T
T
Takahashi
M
M
Sato
K
K
Takeda
A
A
Okamoto
K
K
Fujita
Y
Y
Aoki
H
H
Nagase
A
A
D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009162:Mycobacterium avium / Q000302:isolation & purification*; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery