Mycobacterium avium lung disease combined with a bronchogenic cyst in an immunocompetent young adult.
We report a very rare case of a bronchogenic cyst combined with nontuberculous mycobacterial pulmonary disease in an immunocompetent patient. A 21-year-old male was referred to our institution because of a cough, fever, and worsening of abnormalities on his chest radiograph, despite anti-tuberculosis treatment. Computed tomography of the chest showed a large multi-cystic mass over the right-upper lobe. Pathological examination of the excised lobe showed a bronchogenic cyst combined with a destructive cavitary lesion with granulomatous inflammation. Microbiological culture of sputum and lung tissue yielded Mycobacterium avium. The patient was administered anti-mycobacterial treatment that included clarithromycin.
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yong Soo
YS
Kwon
Joungho
J
Han
Ki Hwan
KH
Jung
Je Hyeong
JH
Kim
Won-Jung
WJ
Koh
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D001994:Bronchogenic Cyst / Q000150:complications* / Q000175:diagnosis / Q000276:immunology / Q000601:surgery; D006801:Humans; D007121:Immunocompetence; D008297:Male; D015269:Mycobacterium avium Complex / Q000302:isolation & purification*; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology; D011013:Pneumonectomy; D012141:Respiratory Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology; D013183:Sputum / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
D000900:Anti-Bacterial Agents
Bronchogenic cyst; Mycobacterium avium complex; Nontuberculous mycobacteria