由于Mycobacterium avium感染的孤独肺部质量在创伤后的肺部:一个病例报告
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Takayuki Nakano1,2,3, Shunsuke Yamada1,2, Kozo Morimoto4
1Respiratory Disease Center Tokyo General Hospital Tokyo Japan.
Respirology case reports
|March 12, 2026
概括
肺部Mycobacterium avium复合体 (MAC) 疾病很少表现为一个单一的群体. 这个案例详细介绍了创伤后肺部MAC感染的独特实例,表现为肺部质量,通过手术切除和组织病理学证实.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 单独的肺结节/质体通常被评估为恶性瘤.
- 肺部感染,包括由Mycobacterium avium复合体 (MAC) 引起的感染,偶尔可以模仿瘤过程.
- 创伤性肺损伤可以为机会性感染创造独特的环境.
研究的目的:
- 报告一种罕见的Mycobacterium avium复合体 (MAC) 感染病例,该病例在创伤后的肺部呈现为单一的肺质.
- 为了突出诊断挑战和最终确认这种不寻常的呈现.
- 为MAC疾病非典型表现的文献做出贡献.
主要方法:
- 一个56岁的男性病例报告,有胸部创伤史.
- 图像:胸部计算机断层扫描 (CT) 显示出一个33毫米的下质量.
- 诊断程序:支气管镜检查,血清抗体检测,支气管支气管洗 (BAL) 培养和PCR,以及随后的胸腔镜部分肺切除.
主要成果:
- 胸部CT检测到一个孤独的肺质量在左下叶的患者之前的创伤.
- 最初的支气管镜检查没有诊断;血清抗体测试呈阳性.
- 切除样本的组织病理学和微生物学分析 (培养和PCR) 证实了Mycobacterium avium感染.
- 患者经历了一次平稳的康复,并接受了保守的管理.
结论:
- 在创伤后的肺部中,单独的肺部质量呈现MAC感染非常罕见.
- 诊断可能具有挑战性,需要成像,血清学和侵入性手术的结合.
- 这一案例强调了考虑感染病因的重要性,即使在创伤的肺部中存在类似质量的病变.
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