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Article in Japanese
Abstract
Case Report
A surgical case of congenital bronchial atresia complicated by pulmonary Mycobacterium avium disease
Hideto Oshitaa Takashi Kumadab Koji Yoshiokaa Yasuhiko Ikegamia Eiji Miyaharab Naoki Yamaokaa
aDepartment of Respiratory Internal Medicine, Federation of National Public Service
and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
bDepartment of Thoracic Surgery, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
ABSTRACT
A 26-year-old woman with congenital left bronchial atresia presented with a low-grade fever. Chest computed tomography revealed granular, branched shadows in a hyperlucent area of the left lung. The patient tested positive for serum anti-Mycobacterium avium complex (MAC) antibodies; however, no acid-fast bacillus was identified in her bronchial washing fluid. Left upper lobectomy was performed, and M. avium was identified from the resected specimen. Clinicians should remain cautious about the development of pulmonary infections in patients with congenital bronchial atresia, although it is difficult to detect the causative organism(s) via the airways. Furthermore, surgical resection could be considered to reach a definitive diagnosis and control the disease, especially when MAC lung disease is suspected.
KEYWORDS
Congenital bronchial atresia Non-tuberculous mycobacteria (NTM) Anti-MAC antibody Lung resection
Received 29 Sep 2021 ／ Accepted 22 Nov 2021
AJRS, 11(2): 78-81, 2022
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