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Disseminated "Mycobacterium avium complex" Infection Mimicking Metastatic Lung Cancer in an Immunocompetent Patient-A Case Report and Literature Review

免疫健全病人之瀰漫性禽結核分枝桿菌感染以肺部轉移癌表現-病例報告及文獻回顧

摘要


禽結核分枝桿菌感染通常發生在肺部之前就有疾病或者是免疫不全的病人,典型的放射影像學上多以肺結節,肺空洞,支氣管擴張或肋膜增厚表現。以肺部腫瘤表現的肺部禽結核分枝桿菌是相當罕見的。在這裡我們分享一個之前肺部正常且沒有免疫不全的中年男性,以肺部腫瘤及貧血表現。最後診斷是瀰漫性禽結核分枝桿菌感染的個案。

並列摘要


”Mycobacterium avium complex” (MAC) infection often occurs in patients with pre-existing pulmonary disease or in those with an immunocompromised status. The classic radiographic features of pulmonary MAC are pleural thickening, bronchiectasis, centrilobular nodules and cavities. A lung mass-like lesion is rarely seen in pulmonary MAC. Herein, we report a rare case of a patient without chronic lung disease or immunosuppression, presenting with a lung mass and anemia, and with the final diagnosis of pulmonary MAC with bone marrow involvement.

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