Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society · 2004
[A case of pulmonary nocardiosis with a polypoid lesion in a bronchus].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Morita Hiroki, Torii Masayoshi, Yokoyama Takako, Ebi Masahide, Takakuwa Osamu, Nakamura Atsushi, Usami Ikuji
Аннотация
A 62-year-old woman was admitted with fever and bloody sputum. A mass shadow in the left S3 and obstruction of the left B3 were seen on a chest radiograph and CT. Obstructive pneumonia was suspected, and cefotiam and imipenem/cilastatin were administered. However, this treatment did not show adequate efficacy. Bronchoscopy demonstrated a yellowish-white polypoid lesion in the left B3, but histopathological findings with HE staining yielded no definite diagnosis. Subsequently, Nocardia asteroides was detected in sputum test. A sulfamethoxazole-trimethoprim combination and minocycline were administered, and the clinical findings improved. Gram-positive microfilaments were confirmed retrospectively in the pathologic specimen, and a diagnosis of pulmonary nocardiosis was made.