A Case of Pulmonary Infectious Bulla Caused by Mycobacterium Avium

Toshiki MORIMOTO; Keigo UCHIMURA; Kei YAMASAKI; Hideki KANDA; Hideki SAKAKIBARA; Kohei HASHIMOTO; Kei NAKAMURA; Saki SHIGEMI; Emiko MIYATA; Yudai YAMAGUCHI; Hiroaki IKEGAMI; Takashi TACHIWADA; Toshinori KAWANAMI; Fumihiro TANAKA; Kazuhiro YATERA

doi:10.7888/juoeh.42.203

A Case of Pulmonary Infectious Bulla Caused by Mycobacterium Avium

Toshiki MORIMOTO, Keigo UCHIMURA, Kei YAMASAKI, Hideki KANDA, Hideki SAKAKIBARA, Kohei HASHIMOTO, Kei NAKAMURA, Saki SHIGEMI, Emiko MIYATA, Yudai YAMAGUCHI, Hiroaki IKEGAMI, Takashi TACHIWADA, Toshinori KAWANAMI, Fumihiro TANAKA, Kazuhiro YATERA

Author information

Toshiki MORIMOTO
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Keigo UCHIMURA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Kei YAMASAKI
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Hideki KANDA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Hideki SAKAKIBARA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Kohei HASHIMOTO
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Kei NAKAMURA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Saki SHIGEMI
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Emiko MIYATA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Yudai YAMAGUCHI
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Hiroaki IKEGAMI
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Takashi TACHIWADA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Toshinori KAWANAMI
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
Fumihiro TANAKA
Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Japan
Kazuhiro YATERA
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan

Keywords: nontuberculous mycobacteria, infectious bulla, lung resection, Mycobacterium avium

JOURNAL FREE ACCESS

2020 Volume 42 Issue 2 Pages 203-208

DOI https://doi.org/10.7888/juoeh.42.203

Details

Abstract

A 37-year-old Japanese man presented with a bulla with niveau-like opacity in the right upper lung on chest radiography. Air-fluid level gradually increased despite broad-spectrum antibiotic therapy. Right upper lobectomy was performed, and epithelioid granuloma with mycobacteria was histopathologically observed. Bacterial culture of the fluid was negative, but mycobacterial culture was positive for Mycobacterium avium; therefore, the patient was diagnosed with pulmonary infected bulla caused by Mycobacterium avium. He was further treated with antimycobacterial agents after resection of the infected bulla. To our knowledge, this is the first report of pulmonary infected bulla caused by only Mycobacterium avium in the English literature.

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