Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Mycobacterium avium Infection Presenting as Endobronchial Lesions in an Immunocompetent Patient

Mycobacterium avium에 의한 기관지 질환 1 예

  • Lee, Jae Hee (Department of Internal Medicine, Gumi CHA Hospital, College of Medicine, Pochon CHA University) ;
  • Son, Kyung Sik (Department of Radiology, Gumi CHA Hospital, College of Medicine, Pochon CHA University) ;
  • Park, Ji Hyun (Department of Internal Medicine, Gumi CHA Hospital, College of Medicine, Pochon CHA University) ;
  • Kim, Jun Chol (Department of Internal Medicine, Gumi CHA Hospital, College of Medicine, Pochon CHA University) ;
  • Lee, Hyun Woo (Department of Internal Medicine, Gumi CHA Hospital, College of Medicine, Pochon CHA University) ;
  • Kim, Chang Ho (Department of Internal Medicine, School of Medicine, Kyungpook National University)
  • 이재희 (포천 중문 의과대학 구미 차병원 내과학교실) ;
  • 손경식 (포천 중문 의과대학 구미 차병원 방사선학교실) ;
  • 박지현 (포천 중문 의과대학 구미 차병원 내과학교실) ;
  • 김준철 (포천 중문 의과대학 구미 차병원 내과학교실) ;
  • 이현우 (포천 중문 의과대학 구미 차병원 내과학교실) ;
  • 김창호 (경북대학교 의과대학 내과학교실)
  • Received : 2006.03.10
  • Accepted : 2006.02.28
  • Published : 2006.05.30
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Abstract

Mycobacterium avium has been traditionally described as an opportunistic organism that causes disseminated disease in human immunodeficiency virus-positive patients and acts as a pulmonary pathogen in patients with underlying lung diseases such as chronic obstructive pulmonary disease or previously treated tuberculosis. Infections caused by M. avium in immunocompetent hosts usually manifest as 2 distinct subtypes, the upper lobe cavitary form and the nodular bronchiectatic form. However endobronchial lesions due to M. avium infections in immunocompetent host are reasonably rare, and there are no reports of this condition in Korea. We report here a case of endobronchial lesions involved in an M. avium infection in an immunocompetent 21 year-old female patient with no preexisting lung disease.

최근 비결핵성 마이코박테리아 폐질환에 대한 관심이 증가되고 있으며 이에 대한 다양한 보고가 이뤄지고 있다. 외국 문헌에서는 M. avium 감염의 대표적인 임상상인 상엽 공동형과 결절성 기관지 확장증 형과는 다른 형태의 M. avium 기관지 질환이 후천성 면역 결핍증 환자뿐만 아니라 면역 적격자인 건강한 성인에서도 드물게 보고 되고 있으나, 국내에서는 지금까지 이에 대한 보고가 없었다. 본 저자들은 이전 폐질환이 없는 건강한 면역 적격자에서 M. avium 감염에 의한 기관지 질환을 경험하고 이 환자의 임상적인 소견과 경과를 문헌 고찰과 함께 보고하는 바이다.

Keywords

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