Archive of Old Cases
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Case No : 336 Date 2004-04-03
- Courtesy of Yoo-kyung Kim, M.D. / Ewha Womans University Mokdong Hospital, Seoul, Korea
- Age/Sex 30 / M
- Chief ComplaintCough and fever for 2 days. Steroid therapy due to GVHD (BMT for AMI, 1 year ago)
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Mycobacterium infection other than tuberculosis (M. avium-intracellulare)
- Radiologic Findings
- Initial chest radiograph shows multiple poorly-defined nodules in both lower lung zones. HRCT scans demonstrate multiple poorly-defined nodules and masses that show cavity and surrounding ground-glass attenuation halo. Contrast-enhanced CT scan shows ill-defined areas of low-attenuation in the nodules and masses.
Follow-up chest radiograph 4 days later shows markedly increased sizes of the nodules and masses. AFB was demonstrated on bronchoalveolar lavage fluid and sputum culture revealed nontuberculous mycobacterium (M. avium-intracellulare). - Brief Review
- Please see case 88
- References
- Please see case 88
- Keywords
- Lung, Infection, bacterial infection, NTM,
No. of Applicants : 31
- ▶ Correct Answer : 2/31, 6.5%
-
- - Homs National Hospital, Homs, Syria Rami Abou Zalaf
- - Sharma Clinic, Jaipur, India Dinesh Sharma
- ▶ Semi-Correct Answer : 17/31, 54.8%
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- - Air force education & training command Hospital, Korea Hyukwon Chang
- - Annecy Hospital, France Gilles Genin
- - Hangang SacredHeart Hospital, Korea Eil Seong Lee
- - Hanyang University Hospital, Seoul, Korea Yo Won Choi
- - Incheon Sarang Hospital, Korea Jung Hee Kim
- - CH Lyon sud, France Xavier Riviere
- - CHU Nancy-Brabois, France Denis Regent
- - CIM Saint Dizier, France JC Leclerc
- - Dong-A University Hospital, Korea Ki-Nam Lee
- - Escola Paulista de Medicina, Brasil Jose LM de Almeida Prado
- - Kangbuk Samsung Hospital, Korea Hyon Joo Kwag
- - Mallinckrodt Institute of Radiology, USA Jin Mo Goo
- - Nowon Eulji hospital, Korea Jeong Joo Woo
- - Samsung Medical Center, Korea Sung Shine Shim
- - Seobusinsegye Radiologic Clinic, Korea Gi Beom Kim
- - Social Security Hospital, Ankara, Turkey Meric Tuzun
- - Vesalius general hospital Tongeren, Belgium Rudi Stokmans
Each Case of This Site Supplied by the Members of KSTR.
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com
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