Pneumonia with Pneumatocele Formation Caused by Mycobacterium tuberculosis: Report of One Case

結核桿菌肺炎合併肺氣囊形成：一病例報告

高秀春(Hsiu-Chun Kao) ； 邱政洵(Cheng-Hsun Chiu) ； 林奏延(Tzou-Yien Lin) ； 王超然(Chau-Ran Wang)

《Acta Paediatrica Sinica》 39卷1期 (1998/02) Pp. 55-57

https://doi.org/10.7097/APS.199802.0055

摘要

肺氣囊通常併發於細菌性肺炎，特別是金黃色葡萄球菌感染。由結核桿菌引起肺炎，並形成肺氣囊的病例相當少見。一個一歲又五個月大男孩因肺炎而住院，胸部X光檢查及電腦斷層攝影顯示右肺有肺氣囊形成，經過數天的廣效性抗生素治療，病人情況仍然　持續惡化。以鼻胃管抽取胃液檢查發現有耐酸性桿菌存在，於是開始給予抗結核藥物治療，病人情況才靛漸好轉，後來痰液及胃抽取液培養確實長出結核桿菌。由此病例報告顯示，結核桿菌可引起嬰兒或較小兒童的肺炎，並可能併發肺中形成，當此類病人對廣産性抗治療沒有反應時，務必將結核桿菌感染列入鑑別診斷。

關鍵字

肺炎 ； 肺氣囊 ； 結核桿菌

並列摘要

Pneumatoceles are usually characteristic of staphylococcal pneumonia. They are rarely formed as one of the complications of Mycobacterium tuberculosis pneumonia. We report a 1-year-and-S-month-old male child with pneumonia who was confirmed to have the rare complication, pneumatocele formation, by chest radiography and computed tomography. Since the patient did not respond to empiric antibiotic therapy, gastric larvage through a nasogastric tube was performed on three consecutive mornings and, as a result, acid fast rods were found on the three specimens. The cultures subsequently yielded M. tuberculosis. He was finally cured with a 6-month course of antituberculous chemotherapy. We conclude that tuberculosis should be considered in infants or young children with pneumonia that presents radiologically as pneumatocele formation, especially in whom there has been no response to empiric antibiotic therapy.

並列關鍵字

pneumonia ； pneumatocele ； Mycobacterium tuberculosis