Weekly Chest CasesArchive of Old Cases

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)
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

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%
  • - 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
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

This website is optimized for IE 10 and above.