A case of congenital bronchial atresia patient with subclinical infection who underwent lung resection
Autor: | Reishi Seki, Yumi Tsuchiya, Masahiro Kaji, Morio Nakamura, Shoji Kuriyama, Kota Ishioka, Tomoyo Oguri, Saori Murata, Shinji Sasada, Shigemichi Hirose, Saeko Takahashi |
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Rok vydání: | 2020 |
Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine medicine.medical_specialty Benign condition medicine.diagnostic_test business.industry Case Report lcsh:Diseases of the respiratory system respiratory system Asymptomatic respiratory tract diseases Lesion 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Bronchoscopy 030220 oncology & carcinogenesis Obstructive pneumonia medicine Radiology Lung resection medicine.symptom business Congenital bronchial atresia Subclinical infection |
Zdroj: | Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 30, Iss, Pp 101076-(2020) |
ISSN: | 2213-0071 |
DOI: | 10.1016/j.rmcr.2020.101076 |
Popis: | Congenital bronchial atresia, CBA, is rare and has often asymptomatic benign condition. The CBA condition usually arose during the formation of bronchi, but the CBA patients are able to live well into adulthood. This case highlights a potential surgical intervention for a CBA patient with subclinical infection. A 55-year-old Japanese male had abnormal findings on his chest X-ray at an annual health check-up in March 2018. His chest computed tomography (CT) revealed bronchial stenosis and infiltrative shadow in the right inferior lobe. He was referred to our hospital for further investigation and was diagnosed CBA after a variety of examinations including bronchoscopy. His dilated bronchi were filled with mucus, the end of one of the bronchi had obstructive pneumonia, and subclinical infection in the CBA lesion was suspected. Also, the result of bronchoscopy disclosed intrabronchial infection with Gram-positive bacteria so we performed lobectomy onto the lower lobe. Although no protocol had been established, a surgical intervention would be necessary for this case. |
Databáze: | OpenAIRE |
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