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A Case of Welder's Lung Disease and Concurred Non-Tuberculotic Mycobacterial Infection Confirmed with Thoracoscopic Lung Biopsy

흉강경하 폐생검을 통하여 확진된 용접공폐질환에 병발된 비결핵성 항산균감염증 1예

  • Kim, Jung-Ho (Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Yun-Jung (Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Ki-Hoon (Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kwon, Soon-Seog (Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Yong-Hyun (Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 김정호 (가톨릭대학교 의과대학 부천성모병원 내과학교실) ;
  • 박윤정 (가톨릭대학교 의과대학 부천성모병원 내과학교실) ;
  • 박기훈 (가톨릭대학교 의과대학 부천성모병원 내과학교실) ;
  • 권순석 (가톨릭대학교 의과대학 부천성모병원 내과학교실) ;
  • 김용현 (가톨릭대학교 의과대학 부천성모병원 내과학교실)
  • Received : 2011.09.27
  • Accepted : 2011.12.17
  • Published : 2012.02.29

Abstract

Pulmonary siderosis, or Welder's lung disease is an occupational lung disease caused by iron-inhalation. Diagnosis of pulmonary siderosis is based on occupational history of the patient, radiologic findings, and pathologic findings of iron-laden macrophages within lung tissue or broncho-alveolar lavage fluid. We observed a case of a 43 years-old welder diagnosed with pulmonary siderosis via thoracoscopic lung biopsy. Sputum culture along with pathology also identified a non-tuberculotic mycobacterial infection with a sputum culture and the pathologic findings. The patient was treated with anti-tubercular medication and cessation of iron-exposure. And his condition improved within a few months.

Keywords

References

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