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Korean J Intern Med. 2013 Jan;28(1):94-7. doi: 10.3904/kjim.2013.28.1.94. Epub 2012 Dec 28.

Mycobacterium avium lung disease combined with a bronchogenic cyst in an immunocompetent young adult.

Author information

1
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

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.

KEYWORDS:

Bronchogenic cyst; Mycobacterium avium complex; Nontuberculous mycobacteria

PMID:
23346002
PMCID:
PMC3543967
DOI:
10.3904/kjim.2013.28.1.94
[Indexed for MEDLINE]
Free PMC Article
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