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Abstract

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Article in Japanese

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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