Tuberculosis and Respiratory Diseases

  • 제70권1호
  • /
  • Pages.79-83
  • /
  • 2011
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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폐결핵이 동반된 폐격리증 1예

A Case of Pulmonary Sequestration Infected by $Mycobacterium$ $tuberculosis$

  • 신지영 (충남대학교 의학전문대학원 내과학교실) ;
  • 박희선 (충남대학교 의학전문대학원 내과학교실) ;
  • 유수진 (충남대학교 의학전문대학원 내과학교실) ;
  • 정선영 (충남대학교 의학전문대학원 내과학교실) ;
  • 박지원 (충남대학교 의학전문대학원 내과학교실) ;
  • 김주옥 (충남대학교 의학전문대학원 내과학교실) ;
  • 김선영 (충남대학교 의학전문대학원 내과학교실) ;
  • 이정은 (충남대학교 의학전문대학원 내과학교실)
  • Shin, Ji-Young (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Park, Hee-Sun (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Yoo, Su-Jin (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Jung, Sun-Young (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Park, Ji-Won (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Ju-Ock (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Sun-Young (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Lee, Jeong-Eun (Department of Internal Medicine, Chungnam National University School of Medicine)
  • 투고 : 2010.09.03
  • 심사 : 2010.10.04
  • 발행 : 2011.01.30
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초록

Pulmonary sequestration is a rare anomaly, in which a local area of a lung is supplied separately by an anomalous artery that arises from the aorta or one of its branches. Infection, mainly bacterial, is a major complication of sequestration. We report the case of a 17-year-old male patient, who presented with cough and fever. The contrast-enhanced chest computer tomomgraphy (CT) scans revealed an aberrant artery that originated from the descending thoracic aorta. He underwent a left-lower lobectomy. Macroscopically, the abnormal segment presented as multiple heterogenous cystic and solid lesions, and the cysts were filled with mucoid and pus-like material. Histology showed that the pulmonary parenchyma had been replaced by caseating epitheloid granulomas. The mycobacterial culture of his sputum was positive. On the basis of these results, the diagnosis of tuberculosis was established. The patient was treated with anti-tuberculous medication for 6 months, and 1 year later, his clinical status remained excellent.

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참고문헌

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